Reimbursement Issues In Health Care Articles
Listing Websites about Reimbursement Issues In Health Care Articles
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 facilitate repayment by third party providers for the use of medical services and equipment.1 …
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 from 23 percent in 2015 to 36 percent in
https://www.healthaffairs.org/doi/10.1377/hlthaff.2020.01560
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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-based policy recommendations focused
https://www.healthaffairs.org/doi/pdf/10.1377/hlthaff.2020.01560
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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 these issues, the Affordable Care Act (ACA) includes several provisions to reform how the nation organizes, structures, and pays for its health care.
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The impact of reimbursement systems on equity in access and …
(7 days ago) WEBReimbursement systems provide incentives to health care providers and may drive physician behaviour. This review assesses the impact of reimbursement system on socioeconomic and racial inequalities in access, utilization and quality of primary care. A systematic search was performed in Web of Science and PubMed for English language …
https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-016-1805-8
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Reimbursement: Understanding How We Pay for Health Care
(2 days ago) WEBAbstract. American health care costs have now grown to encompass 20 % of our gross domestic product, and efforts at slowing this growth have been largely unsuccessful. The need for payment reform is clearly more critical now than ever before. Though payment in the United States has been historically grounded in fee-for-service …
https://link.springer.com/chapter/10.1007/978-1-4614-7735-8_15
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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 hospitals’ care-delivery costs. 2 This shortfall is the rationale for the Medicaid Disproportionate Share Hospital (DSH) payment policy, which enables states to work …
https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2753242
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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. Nov 17, 2023 - 04:01 PM. Payment denials by Medicare Advantage plans jumped 56% for the median health system between January 2022 and June 2023, contributing to a 28% decline in median cash reserves, according to the latest analysis …
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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,” “price,” and “reimbursement” (table 1). These terms have specific meanings, but their interpretation often depends on whose perspective is being considered.
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How The Hospital Reimbursement Model Harms Nursing
(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
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Confronting Challenges in the US Health Care System - JAMA …
(7 days ago) WEBHealth systems will be increasingly held accountable for ensuring delivery of high-value care and for addressing health equity issues in ways that do not rely on outdated models of care. No one could have imagined or would wish the current economic, societal, or health care challenges of the COVID-19 pandemic on a new administration or Congress.
https://jamanetwork.com/journals/jama/fullarticle/2778509
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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 affect hospitals and health systems, as well as access to patient care. The report found expenses across the board saw double digit increases in 2022 compared to pre-pandemic levels, …
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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 sustainability of healthcare providers. Plenty of changes in 2023 are seriously affecting reimbursement, from rising claim denials and changing medical codes to lowered …
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. Medicare expenditures for hospital Part A and medical Part B services have risen year after year, with some double-digit growth.
https://www.ashp.org/-/media/store-files/p763-sample-chapter-1
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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, physicians, and other health care providers. Congress has reacted by instructing Medicare to control payments in order to keep the Medicare trust fund "budget neutral."
https://www.asha.org/Articles/Health-Care-Economics-The-Real-Source-of-Reimbursement-Problems/
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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, we explore common reimbursement issues and how to solve them. In most businesses, payments happen quickly—prices get quoted, money trades hands, and customers get …
https://billflash.com/revenue-cycle-management/healthcare-reimbursement-issues/
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Insurance Reimbursement Challenges for Physicians - MPR
(Just Now) WEBFurthermore, as insurance reimbursement is a key aspect of valuable health care, physicians must have a thorough understanding of the compensation process to avoid common challenges that may arise
https://www.empr.com/home/ppl/insurance-reimbursement-challenges-for-physicians/
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CMS finalizes rules to improve Medicaid, CHIP access and payment
(5 days ago) WEBThe Centers for Medicare & Medicaid Services April 22 finalized rules intended to improve access in both the Medicaid fee-for-service and managed care programs.The rules also align requirements in the Children’s Health Insurance Program with the Medicaid program and finalize several changes to state directed payments, …
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Medicare stumbles managing a costly problem — chronic illness
(9 days ago) WEBKFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF — an independent source of health policy research
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UnitedHealth Group Updates on Change Healthcare Cyberattack
(8 days ago) WEBChange Healthcare Service Restoration. Change Healthcare has made continued strong progress restoring services impacted by the event. We have prioritized the restoration of services that impact patient access to care or medication. Pharmacy services are now back to near-normal levels, with 99% of pre-incident pharmacies able to …
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What is health equity? How the idea grew – and why it matters
(9 days ago) WEBNo matter how you look at health equity, the conversation involves contradictions. But at its core are fundamental questions about illness and health, say experts who have watched the conversation move from the fringes of scholarly debate to the mainstream of 21st century health care. The term can be abstract, but the facts are …
https://www.heart.org/en/news/2024/04/24/what-is-health-equity-how-the-idea-grew-and-why-it-matters
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Walmart Closes Health Centers, Telehealth Unit Over Rising Costs
(4 days ago) WEBWalmart Inc. is abandoning its plan to build out a network of low-cost health clinics due to escalating costs and reimbursement challenges. The retailer announced Tuesday that it will close all 51
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Research ethics and artificial intelligence for global health
(4 days ago) WEBThe ethical governance of Artificial Intelligence (AI) in health care and public health continues to be an urgent issue for attention in policy, research, and practice [1,2,3].Beyond the growing number of AI applications being implemented in health care, capabilities of AI models such as Large Language Models (LLMs) expand the potential …
https://bmcmedethics.biomedcentral.com/articles/10.1186/s12910-024-01044-w
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Most nursing homes don't have enough staff to meet the federal …
(4 days ago) WEBThe new rules mean 4 out of 5 nursing homes will need more aides and nurses. Unions hailed the change, but advocates say it's not enough care, while nursing home owners say it's an "impossible task."
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Integrating Mental and Physical Health to Better Support Patients …
(6 days ago) WEBThese strategies improve the overall value of health care and can lead to improvements in patient outcomes, quality of care and total costs. Behavioral health remains a top priority for the AHA as it cuts across each pillar in our 2022-2024 Strategic Plan. During Mental Health Awareness Month and throughout the year, the AHA is …
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Opinion Maximizing Profits at the Patients’ Expense
(4 days ago) WEBReaders discuss an article about insurers sending large bills for out-of-network care. Also: Brave Trump jurors; Black voters; better than debates.
https://www.nytimes.com/2024/04/28/opinion/insurance-patients-profits.html
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Walmart closing 51 health centers over lack of profitability
(8 days ago) WEBWalmart said that it's shuttering all 51 of its health clinics and related telehealth services due to issues tied to reimbursement and rising operating costs.
https://www.foxbusiness.com/lifestyle/walmart-closing-51-health-centers-over-lack-of-profitability
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Biden administration issues new rule to protect privacy of those
(1 days ago) WEBA final rule issued by the Biden administration prevents medical records from being used against people for providing or receiving certain types of reproductive health care – even if a patient
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Women are less likely to die when treated by female doctors
(7 days ago) WEBAlthough the difference between the two groups seems small, the researchers say erasing the gap could save 5,000 women’s lives each year. The study included nearly 800,000 male and female
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