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.
CMS's site of service reimbursement differentials are beginning to fade.
Under MACRA, it's clear that providers will have to manage the cost of care and demonstrate value. But the legislation will also have implications that are not so obvious.
The final rule features modifications based on more than 400 public comments.
With CMS rolling out its first mandatory bundled payment program (CCJR), are other specialties, like cardiology, next in line?
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