On January 1, the 2018 final rule regarding payment for Medicare services under the Hospital Outpatient Prospective Payment System went into effect. The Centers for Medicare & Medicaid Services (CMS) removed knee replacements from the inpatient-only list and defined an outpatient hospital reimbursement rate for these cases.
ECG is proud to have been named the number one overall management consulting firm in the 2018 Best in KLAS: Software and Services Report. This is an exciting honor that is a direct result of our clients’ feedback.
CMS released its proposal for CY 2018 Hospital Outpatient Prospective Payment System (OPPS) payment rules, containing significant changes to reimbursement for hospitals participating in the 340B Drug Pricing Program.
Facing revenue stream challenges, schools of medicine (SOMs) are evaluating the distribution and use of their limited resources and embracing more data-driven approaches to financing academic activities.
Provider-sponsored health plans are not for every organization. This article for HFMA offers a framework to help healthcare leaders assess their organization's readiness.
If your organization is facing CJR target pricing, you won’t be able to recognize improvement until you evaluate your organization’s baseline performance.
Cost metrics have rarely been tied to physician compensation. But tight margins call for innovative thinking.
Healthcare organizations are beginning to hold providers accountable for reducing the cost of care.
AMCs are increasingly using PSAs to move away from the historical model of deficit funding.
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