You are here

Finance

 

If the 5 percent bonus payment in the Advanced Alternative Payment Model (APMs) track was available in 2015, accountable care organizations (ACOs) would’ve earned additional net payments of $886 million if they had assumed downside risk under the Medicare Shared Savings Program (MSSP).

Most doctors saw a similar increase in compensation last year as they had in 2015, with an average raise of 2.9 percent across all specialties reported in the American Medical Group Association’s (AMGA) annual medical group compensation and productivity survey. Productivity, however, remained flat, and the move to value-based incentives in compensation continues to be slower than anticipated.

CMS has released its proposed rules for the 2018 Physician Fee Schedule (PFS), Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System, with the biggest change being halving the Medicare reimbursement for off-campus services.

President Donald Trump had proposed a 16 percent cut across HHS in his budget blueprint for fiscal year 2018, but the Republican majority on the House Appropriations Committee added $14.5 billion over his request in its own budget proposal released on July 12.

Jason Considine, senior vice president of patient collections and engagement at Experian Health, argued at the Healthcare Financial Management Association (HFMA) conference in Orlando that providers should first rely on leveraging data and crafting flexible payment options before paying any contingency fees to collectors. He spoke with HealthExec about mistakes providers are making with their collection practices and what data they need to improve the process.

 

Recent Headlines

Becton Dickinson to acquire CR Bard for $24 billion

Medical equipment giant Becton, Dickinson and Co. (BD) is getting bigger, announcing a $24 billion cash-and-stock deal to acquire CR Bard, including its portfolio in oncology, vascular and surgical products.

$40 million billing scheme results in charges for 26 doctors, pharmacists

California prosecutors charged 26 physicians, pharmacists and business owners in an alleged billing fraud and kickback scheme that collected more than $40 million from insurers by prescribing unnecessary medications or balms which had no medical value. 

Value of M&A activity down, volume nearly flat so far in 2017

Mergers and acquisition (M&A) activity in healthcare isn’t slowing down, with the first quarter of 2017 being the tenth straight with more than 200 deals. What did change, according to a report from PricewaterhouseCoopers (PwC), was the disclosed value of those transactions.

Applications open for extended CMS rural hospital program

Thanks to the 21st Century Cures Act, the Rural Community Hospital Demonstration Program through CMS has been extended for another five years, and eligible hospitals can now apply for the payment program for the first time since 2010. 

Why bundled payment models should stay mandatory

HHS Secretary Tom Price and CMS Administrator Seema Verma have both expressed skepticism about making bundled payments mandatory for providers in certain regions, but switching them to voluntary participation could slow the transition to value-based care, according to five Brookings Institution experts writing in a Health Affairs blog post.

Medical group M&A activity more than doubled in first quarter of 2017

A new report from Irving Levin Associates and HealthCareMandA.com said mergers and acquisition (M&A) activity “surged” among physician medical groups in the first quarter of the year, with 48 deals confirmed.

Universal Health Services CEO was highest-paid hospital leader in 2016

If you were judging hospital executives by their pay, the winner would Alan Miller, MBA, chairman and CEO of Pennsylvania-based Universal Health Services, who earned $51.3 million in 2016.

S&P: ACA markets ‘fragile'—but not in death spiral

Despite claims by President Donald Trump, Republican members of Congress, and some insurance CEOs, the Affordable Care Act (ACA)’s health insurance exchanges aren’t in a death spiral, according to a Standard and Poor’s (S&P) analysis, which predicts the individual market is actually on a path to profitability in 2018.

Cardinal Health nearing $6 billion purchase of Medtronic’s medical supplies unit

Cardinal Health is in exclusive talks to acquire the medical supplies business of Medtronic for $6 billion, sources told Reuters on April 5. 

Hospital chargemaster rates linked to higher payments, but not higher quality care

The list prices for hospital procedures and tests aren’t “inconsequential,” according to economists, and can be associated with higher payments from insurers and patients.

 

Pages