CMS has finalized the CY 2018 Hospital Outpatient Prospective Payment System (OPPS) rule, confirming changes to the 340B Drug Pricing Program that were proposed earlier this year.
Surgical care is increasingly shifting to the outpatient setting, fueled by numerous factors that include clinical and technological advances, cost savings, and convenience.
Each month, Accountable Care News asks a panel of industry experts to discuss a topic suggested by a subscriber.
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.
The unsustainable trajectory of our healthcare delivery system requires that care delivery transformation be a top priority for today’s healthcare leaders. We have identified four key areas organizations should focus their efforts on and discuss how to successfully deploy a structured approach to the transformation process.
The first year of the CMS-mandated Comprehensive Care for Joint Replacement (CJR) model is over. In just a few weeks, CMS will release CJR files to the approximately 800 acute care hospitals included as CJR participants.
Organizations subject to CJR can learn how to submit requests for reconsideration and get paid, with the help of our reconciliation roadmap infographic.
Every chance to close gaps in medically necessary care is an opportunity for providers to realize incremental revenues while doing what is right for their patients.
Provider organizations can utilize this checklistto assess program structure, organizational strategy, and capacity in order to evaluate participation in voluntary Medicaid ACO models.
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