CMS has codified in a recent final rule how it defines equal and adequate protections for goods and services that could be provided under Sections A and B of Medicare. The definition has a trio of main elements, according to the final rule, so that an item or service is 1) safe and secure, 2)
Time-driven costing is a strategy in healthcare that calculates the expense of treatments expended as a patient moves across the various stages of treatment. The strategy has generated momentum among hospital leaders, especially in the face of new value-based reimbursement structures, in addition to the need to handle increasing costs and limited resources, like nurses
COVID-19 made an already overwhelming healthcare system even harder to manage for patients and caregivers alike. When we want the industry to return stronger, how will healthcare continue? To have a truly thriving healthcare environment, we have to increase the number of connections among participants. The relations between doctors and patients, practices and payers, primary
Last week the Centers for Medicare and Medicaid Services (CMS) issued regulations to eliminate some hurdles under the "Stark" Physician Self-Referral law to the introduction of physician fee agreements using value-based payment arrangements. The updated rules are the first significant revisions in two years to the regulations and the first effort by CMS to amend
With the domestic health insurer earning $600 million+ in additional revenue, leading to a third-quarter profit of $1.3 billion, Humana is enjoying the benefits of its decision to bet on value-based primary care. The venture of Humana into improved primary care comes during a time when healthcare costs are rising, and insurers are looking for
