Bundling emergent procedures is a markedly different exercise than bundling elective procedures.
The limitations of grouper-based methodologies have recently driven some payors to make the move to APC reimbursement in the ambulatory space.
CMS is betting big on bundled payments. Read Deirdre Baggot's column on how healthcare organizations can begin preparing for cardiovascular bundled payment programs
Providers and hospitals need to act now to position themselves for success in a post-MACRA environment.
Providers need to consider the benefits of Medicaid MCOs to properly manage their Medicaid patient populations.
Despite predictions to the contrary, Medicare Advantage (MA) plans are increasingly attractive to the Medicare population. As a result, Provider-Sponsored Medicare Advantage plans are becoming equally attractive to provider organizations.
Oncology practices need to prepare for reimbursement based on quality and the total cost of care.
AMCs are increasingly using PSAs to move away from the historical model of deficit funding.
The passing of MACRA was greeted with much fanfare, but the actual challenges of impementing it are setting in.
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