This column discusses some of the challenges that exist for controlling health care costs in the state of Indiana.
After several long months, the contracting team at Community Hospital completed negotiations with its largest commercial payor and came out of the discussions feeling optimistic about the rate increases obtained.
This column discusses why cardiologists and health systems need to think about compensation beyond the WRVU and offers examples of ways to incorporate performance measures into physician compensation plans.
This infographic illustrates the various scenarios for providers attesting for Medicaid, pausing their participation in various program years, and switching between the Medicaid and Medicare programs.
The expenses associated with cancer care in the United States are staggering and only expected to climb. The government, payors, and providers are engaging in various activities to test different reimbursement methodologies for cancer care.
One often overlooked but potentially critical step in the preparation for the now delayed April 2015 transition from ICD-9 to ICD-10 is updating agreements between providers and payors.
Last week I partnered with David Schoolcraft, J.D., of Ogden Murphy Wallace to facilitate a discussion at the 2014 National HIMSS Conference regarding EHR donation arrangements.
On February 6, a bipartisan, bicameral proposal was announced to replace the current Sustainable Growth Rate (SGR) formula and create new physician payment mechanisms. I volume grows while per capita GDP slows, as has been the case over the past decade, then the formula calls for rate cuts – at a time when the total cost of providing patient care is increasing.
Continuing uncertainty about future changes to regulation, reimbursement, and costs for orthopedic services is creating an environment of change for physician-owned ambulatory surgery centers (ASCs). As a result, owners of independent orthopedic ASCs are increasingly looking toward alignment and integration strategies in response to major market trends and as a means of offering greater value to patients.
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