The Oncology Care Model (OCM) is aimed at physician practices that administer chemotherapy and bill for services under the Medicare Physician Fee Schedule. The OCM is built upon new reimbursement structures for services provided to cancer patients within episodes of care.
Recently the U.S. Department of Health & Human Services (HHS) outlined ambitious goals to significantly increase the percentage of Medicare payments that are tied to quality and cost effectiveness over the next several years.
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.
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