Healthcare News & Insights

Healthcare has changed a lot recently, thanks in big part to the healthcare reform legislation passed in 2010. Read about the new challenges created by healthcare reform and how top hospitals are overcoming them.

Supreme Court rules in favor of health reform law

Here’s some good news for hospitals, particularly those that treat many Medicaid patients, or patients with healthcare exchange plans: The Supreme Court just ruled in favor of keeping federal subsidies for health insurance intact.  

Value-based care: The newest initiatives

The feds have already put several value-based payment initiatives in place for Medicare. They’ve also recently pledged to work with private payors, states and other providers to expand this system of reimbursement. 

5 healthcare trends to watch in ACA’s fifth year

Believe it or not, the Affordable Care Act (ACA) is turning 5 this year. The healthcare reform law has drastically changed the climate for hospitals – and more changes are coming.

Loss of ACA subsidies could affect hospitals’ bottom line

Hospitals have had to weather many changes due to healthcare reform. Now, a case being argued before the Supreme Court may alter one of the key features of the Affordable Care Act (ACA): healthcare subsidies. And the changes could have a drastic effect on how hospitals do business.

Bill could change Medicare payment policies

A new bill pending in the U.S. House of Representatives could bring about some big changes in how hospitals get paid by Medicare in the next few years.

HHS: Expanding Medicaid under healthcare reform will save hospitals billions this year

The financial picture is looking better for hospitals in states that have expanded Medicaid coverage as part of the Affordable Care Act (ACA). Reason: The cost of uncompensated care for those hospitals is likely to go down by billions of dollars this year. 

New Medicare payment models may put an end to observation care

Observation care penalties are a major thorn in the side of hospitals and their patients. But there’s good news: Medicare officials are allowing patients at dozens of facilities across the country to participate in pilot projects that exempt them from the observation requirements. 

Online appointments ease grueling ER wait times

Wait times in emergency rooms (ER) can be sickening. Patients are bound to feel worse when they have to endure those interminable waits in an over-crowded emergency department. 

Docs jockey for high HCAHPS scores by overtreating patients

When it comes to keeping patients happy, the mandate for some doctors is simple: never deny a request for an antibiotic, an opioid pain medication, a scan or a hospital admission. 

Lawmakers turn-up pressure on CMS to reform HRRP

Federal regulators are being squeezed by Washington lawmakers to fix an Obamacare program that they say may be unfair to low-income patients and the safety-net hospitals that serve them.

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