Healthcare News & Insights

New Medicaid rule will change how hospitals get paid

Big changes are coming to the Medicaid program, thanks to a final rule published by the Centers for Medicare & Medicaid Services (CMS). And they’re in alignment with the growing focus on value-based reimbursement in health care. 

New study finds physician-owned hospitals aren’t outliers

Physician-owned hospitals (POHs) have gotten a bad rap for years. They’ve been accused of cherry-picking the healthiest patients and leaving the sickest ones for non-POHs. But a new study finds that bad rap may be unwarranted. 

Healthcare reform may hurt hospitals’ profits

It’s been said that the expansion of Medicaid through the Affordable Care Act has helped hospitals improve their bottom lines. But a new analysis suggests that healthcare reform may not be as beneficial as it seems to hospitals’ financial picture. 

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. 

Lawmakers to CMS: HRRP doing more harm than good for hospitals

A group of 34 lawmakers on Capitol Hill are urging the Centers for Medicare & Medicaid Services (CMS) to work with Congress to ensure the Hospital Readmissions Reduction Program (HRRP) doesn’t harm hospitals that serve the poor.

Most costly inpatient hospital conditions to treat

For policymakers, hospitals are a major concern because they represent the single largest portion of healthcare spending. And unfortunately, as has been the case for years now, healthcare costs are growing faster than the economy. That’s why most hospitals are focused on doing everything they can to provide better, more effective care at a lower […] [MORE]

How to curb Medicaid ‘super-utilizers’ in hospitals

The feds are placing their focus on cutting healthcare costs, and one specific segment they’re targeting is Medicaid “super-utilizers” who get most of their health needs met in the hospital emergency room setting.

Study: EHRs cut state’s Medicaid costs

In addition to the federal government’s EHR incentive program, individual states are also using health IT in their own plans to improve health care. 

Hospital sues coordinated care organization

When Salem Hospital, a 454-bed, non-profit facility in Salem, OR, joined the local coordinated care organization, it was promised better patient outcomes and lowered costs. But instead, it now has a fight on its hands, and at issue is the reimbursement rate for Medicaid patients.

President Obama vs. Romney on Medicaid

You probably know that if President Obama is reelected, as many as 17 million more American will be on Medicaid, which could put a big strain on U.S. hospitals. But do you know what would happen to Medicaid if Romney wins?