Reimbursement Issues In Health Care Articles

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Impact of reimbursement systems on patient care – a systematic …

(3 days ago) WEBThere is not yet sufficient scientific evidence to answer the question of the extent to which different reimbursement systems influence patient care and treatment quality. Due to the asymmetry of information between physicians, health insurers and …

https://healtheconomicsreview.biomedcentral.com/articles/10.1186/s13561-024-00487-6

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Challenges and Adverse Outcomes of Implementing …

(3 days ago) WEBThe diagnosis-related group (drg) classification system is a method of categorising patients for health insurance purposes in order to control costs and …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7574807/

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Health Costs And Financing: Challenges And Strategies For A New

(Just Now) WEBAccording to the Health Care Payment Learning and Action Network, the share of health care payments administered via alternative payment models increased …

https://www.healthaffairs.org/doi/10.1377/hlthaff.2020.01560

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Impact of reimbursement systems on patient care – a systematic …

(4 days ago) WEBFor the reimbursement of health care providers via salary, the results show little to no influence on the subcategories of the dimension structure. For the …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10944612/

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Health Costs And Financing: Challenges And Strategies For A …

(4 days ago) WEBHealth and Health Care: Priorities for 2021 initiative, we draw on our collective backgrounds in health financing, delivery, and innovation to offer consensus …

https://www.healthaffairs.org/doi/pdf/10.1377/hlthaff.2020.01560

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Hospitals confront mounting reimbursement challenges and …

(5 days ago) WEBEscalating reimbursement delays and declining cash reserves are placing hospitals and health systems across the nation in a precarious financial predicament, …

https://www.healthcarefinancenews.com/news/hospitals-confront-mounting-reimbursement-challenges-and-diminishing-cash-reserves

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Report: U.S. hospitals face diminished reserves, mounting …

(3 days ago) WEBReport: U.S. hospitals face diminished reserves, mounting reimbursement challenges. Payment denials by Medicare Advantage plans jumped 56% for the median …

https://www.aha.org/news/headline/2023-11-17-report-us-hospitals-face-diminished-reserves-mounting-reimbursement-challenges

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The Impact of the Payment and Delivery System Reforms of the …

(7 days ago) WEBThe U.S. health care system has long been marked by high spending, comparatively poor health outcomes, inequities, waste, and inefficiency. To address …

https://www.commonwealthfund.org/publications/2022/apr/impact-payment-and-delivery-system-reforms-affordable-care-act

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How The Hospital Reimbursement Model Harms …

(5 days ago) WEBNursing strikes are becoming a regular occurrence across the country—almost 40,000 health care workers went on strike in 2022, resulting in a cumulative loss of more than 230,000 health care

https://www.healthaffairs.org/content/forefront/hospital-reimbursement-model-harms-nursing-quality-and-do

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New AHA Report Finds Financial Challenges Mount for Hospitals …

(3 days ago) WEBWASHINGTON (April 20, 2023) — The American Hospital Association (AHA) today released a new report that details the extraordinary financial pressures continuing to …

https://www.aha.org/press-releases/2023-04-20-new-aha-report-finds-financial-challenges-mount-hospitals-health-systems-putting-access-care-risk

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Adjusting Hospital Reimbursement to Account for Social …

(8 days ago) WEBIn the case of children’s hospitals that provide care to large numbers of patients with Medicaid coverage, such reimbursement often falls short of covering the …

https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2753242

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Hospitals Face Financial Pressures as Costs of Caring Continue to …

(Just Now) WEBHospitals’ labor costs, which on average account for 60% of a hospital’s budget, increased by more than $42.5 billion between 2021 and 2023. Economy-wide …

https://www.aha.org/news/perspective/2024-05-10-hospitals-face-financial-pressures-costs-caring-continue-surge

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5 Top Healthcare Reimbursement Issues (And How to Fix Them)

(1 days ago) WEBThe healthcare industry has long been plagued with reimbursement issues. These problems can have a significant impact on the financial stability and …

https://gebbs.com/blog/5-top-healthcare-reimbursement-issues-and-how-to-fix-them/

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Issues Surrounding Health Care Reimbursement - ASHP

(2 days ago) WEBChapter 1. The continuous rise in overall spending on U.S. health care over the past 10 years maintains the focus on containing costs while improving patient care outcomes. …

https://www.ashp.org/-/media/store-files/p763-sample-chapter-1

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Reimbursement Issues in Healthcare and How to Resolve Them

(9 days ago) WEBReimbursement Issues in Healthcare: A Guide to Resolution. January 3, 2024. The path to a proper reimbursement process involves several challenges. Here, …

https://billflash.com/revenue-cycle-management/healthcare-reimbursement-issues/

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The Challenge of Understanding Health Care Costs and Charges

(6 days ago) WEBSpeaking the Same Language: Health Care Cost Terms. The first step in understanding health care costs is to be able to distinguish between terms such as “cost,” “charge,” …

https://journalofethics.ama-assn.org/article/challenge-understanding-health-care-costs-and-charges/2015-11

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Health Care Economics The Real Source of Reimbursement Problems

(4 days ago) WEBReimbursement for all health care services has been under downward pressure for several years. Newspapers have published articles citing the "greed" of hospitals, …

https://www.asha.org/Articles/Health-Care-Economics-The-Real-Source-of-Reimbursement-Problems/

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Incident-to and Shared Services: Demystifying Billing for Care

(5 days ago) WEBIf you use data to select the level of E/M service and include Category 2 data (an independent interpretation of an image or tracing) or Category 3 data (discussion with an …

https://www.aafp.org/pubs/fpm/issues/2024/0500/shared-services-billing.html

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Annual report on Medicare financing could reduce the immediate …

(3 days ago) WEBNew data on the state of Medicare funding show short-term improvement while keeping the stakes high for ensuing decades. The annual report from Medicare’s …

https://www.hfma.org/payment-reimbursement-and-managed-care/medicare-payment-and-reimbursement/report-on-medicare-financing-could-reduce-immediate-impetus-to-address-issues/

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Value-based Reimbursement as a Mechanism to Achieve Social …

(4 days ago) WEBThis has been recently evidenced in a systematic review that evaluated the impact of innovative reimbursement strategies on the healthcare system. 2 They …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10621730/

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Closures of Walmart’s health centers reflect the widespread …

(2 days ago) WEB“Primary care is about proactive prevention,” Neuwirth said. “It’s about identifying care gaps, addressing the social determinants of health and assisting people …

https://www.hfma.org/payment-reimbursement-and-managed-care/payment-models/closures-of-walmart-health-centers-reflect-the-widespread-financial-constraints-in-us-healthcare/

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The impact of terminating cost-sharing reductions payments on …

(1 days ago) WEBKeywords: health reform, advanced premium tax credits, cost-sharing reductions, health insurance, affordable care act. Citation: Liu F (2024) The impact of …

https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2024.1370563/full

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Why does health care cost so much? A reading guide - STAT

(8 days ago) WEBWhether it’s childbirth, caring for a family member, or dealing with one’s own injury or illness, a bill inevitably comes in the mail leaving most people asking, “Why …

https://www.statnews.com/2024/05/13/health-care-costs-reading-guide/

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Payment Policy And The Challenges Of Medicare And - Health …

(9 days ago) WEBThese pay-for-performance issues also affect managed care plans and value-based payment organizations, raising concerns about dual-eligible beneficiaries’ …

https://www.healthaffairs.org/do/10.1377/hpb20220923.93608/

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Hospitals Charge Employers 254 Percent Over Medicare. The

(Just Now) WEBThe nonprofit think tank RAND released its most recent health care report May 13, comparing what hospitals charge private health plans to the prices paid by …

https://www.newsweek.com/hospitals-charge-employers-254-percent-over-medicare-why-gets-fuzzy-1900566

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Why Pueblo's St. Mary-Corwin patients with Anthem insurance …

(8 days ago) WEBTo get ongoing updates, ask questions, or fill out a continuity of care form, St. Mary-Corwin patients with Anthem can go to anthemcommonspirit.com. Patients also can call a toll …

https://www.msn.com/en-us/health/other/why-pueblo-s-st-mary-corwin-patients-with-anthem-insurance-may-see-reimbursement-issues/ar-BB1mocGG

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New TRICARE Rule May ‘Risk the Health of Military Kids’

(8 days ago) WEBMay 14, 2024. FS Productions/Getty Images. MOAA continued its efforts to protect military kids’ access to health care at children’s hospitals by spearheading a …

https://www.moaa.org/content/publications-and-media/news-articles/2024-news-articles/advocacy/new-tricare-rule-may-risk-the-health-of-military-kids/

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Planning Ahead: Healthcare Leaders Prepare for 2025 - HealthStream

(8 days ago) WEBConclusion. As healthcare leaders plan for 2025 and beyond, they recognize the importance of adopting a forward-thinking mindset. The successful …

https://www.healthstream.com/resource/blog/healthcare-leaders-prepare-for-2025

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Patients love telehealth—physicians are not so sure McKinsey

(1 days ago) WEBIn addition, patients’ most trusted advisers on care decisions are physicians, so virtual care gives them a meaningful opportunity to help patients access the care …

https://www.mckinsey.com/industries/healthcare/our-insights/patients-love-telehealth-physicians-are-not-so-sure

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CVS is willing to dump 10% of its Medicare Advantage members

(8 days ago) WEBCVS Health is preparing to make significant changes to its 2025 Medicare Advantage plans, which could potentially drive away 10% of its membership, the …

https://www.statnews.com/2024/05/14/cvs-aetna-medicare-advantage-cut-benefits/

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FemTech McKinsey

(4 days ago) WEBFemTech provides a wide range of solutions to improve healthcare for women across a number of female-specific conditions, including maternal health, …

https://www.mckinsey.com/industries/healthcare/our-insights/the-dawn-of-the-femtech-revolution

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Office of Public Affairs Assistant Attorney General Jonathan …

(1 days ago) WEBThe Justice Department today announced the formation of the Antitrust Division’s Task Force on Health Care Monopolies and Collusion (HCMC). The HCMC …

https://www.justice.gov/opa/pr/assistant-attorney-general-jonathan-kanter-announces-task-force-health-care-monopolies-and

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Ascension Health, largest Catholic hospital chain in the US, hit by

(2 days ago) WEBAscension Health, largest Catholic hospital chain in the U.S., hit by cyberattack, disrupting patient care The attack follows another one that has caused a …

https://www.nbcnews.com/business/business-news/ascension-health-cyberattack-disrupts-patient-care-what-happened-rcna151462

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DoJ forms task force on competition, monopolies in healthcare

(8 days ago) WEBBy Jacqueline LaPointe. May 13, 2024 - The Department of Justice (DoJ) recently announced the formation of a task force dedicated to investigating competition …

https://revcycleintelligence.com/news/doj-forms-task-force-on-competition-monopolies-in-healthcare

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Steward Health Care says it is selling the 30+ hospitals it operates

(7 days ago) WEBUpdated 12:20 PM PDT, May 8, 2024. Steward Health Care said it plans to sell off all its hospitals after announcing this week that it filed for bankruptcy protection. …

https://apnews.com/article/steward-hospital-bankruptcy-264edc6309f7b9eaa309c4113211ce30

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The impact of reimbursement systems on equity in access and …

(3 days ago) WEBThe impact of fee-for-service and capitation on health care inequalities has not been previously reviewed. Despite this knowledge gap, reimbursement to health …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5050924/

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