Interesting Characteristics of Accountable Care Organizations (ACOs) that you may not have Expected
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FluidEdge consulting outlines ACO generation and performance data.
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Medicare is Penalizing Hospitals with the Sickest & Poorest Patients Unfairly
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Over the past four years, Medicare has been fining hospitals if too many of their patients are returning within weeks of being released. However, many safety-net hospitals and academic teaching hospitals claim that the fining is unfair because they take of poorer and sicker patients.
Read MoreCarolinas HealthCare System Expansion Drives Revenue Gains
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Patients are becoming more active in choosing where they receive medical care due to the growing popularity of high-deductible health plans. Carolinas HealthCare System has been placing more emphasis on making it easier for patients to access care in recent years, which drove significant revenue increases. They reported net operating revenue of $4.4 billion for the first half of 2015, up from $4.1 billion for the same period of last year.
Read MoreICD-10 Deadline 2 Weeks Away, Many Groups Still Ill-Prepared
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Many smaller physician practices could go out of business due to problems associated with the fast approaching ICD-10 conversion. There are about 68,000 diagnostic codes under the new ICD-10-CM codes, which is five times more than under ICD-9-CM.
Read MoreMedicare's New Payment Model Gives Doctors Two Reimbursement Options
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The Medicare Access and the Children’s Health Insurance Program (CHIP) Act of 2015 gives physicians the choice of two reimbursement methods beginning in 2019.
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