Care Delivery

Changes to the accountable care organization shared savings program by CMS are having the desired effect, but fewer ACOs are participating in 2019. The declaration comes from CMS Administrator Seema Verma, who recently penned a blog post in Health Affairs outlining the recent outcomes of the ACO shared savings program.

The Trump administration’s expansion of short-term limited-duration health plans has held up in court after a legal challenge.

After introducing its new HealthHub concept store in Texas, CVS Health is spreading the store model to Boston, Dallas/Fort Worth, Maryland, North Carolina, Ohio and Virginia, the company announced.

Only 28% of ACOs formed in 2012 have taken on downside risk, while just 33% had at least one contract with downside risk in 2018, according to a study published in Health Affairs.

More hospitals and healthcare providers are seeking medical specialists compared to primary care physicians––and many of these roles comes with the highest starting salaries in the industry.

Patients are worried about the rising cost of prescription drugs, and the high rate of cost growth has led lawmakers and the Trump administration to review steps to reduce runaway price growth. However, there are some ways for doctors to help patients avoid sticker shock on their prescriptions––and not many are using these tools, according to a report from NPR.

Emergency services are well known for charging high prices, often leaving patients on the hook for sky-high medical bills when those services are billed out of network. In particular, patients with private insurance face far higher charges for air ambulance compared to Medicare rates, according to a recent study published in Health Affairs.

Waves of criticism against Methodist Le Bonheur Healthcare, a nonprofit hospital based in Memphis, Tennessee, have prompted the institution to examine its aggressive debt collection practices of suing low-income patients for unpaid medical debts, as detailed by a recent ProPublica and MLK50 report.

Bundled payments are helping lower overall healthcare costs, with joint replacement bundles saving about $1,000 per patient annually, according to a second annual report on the model from the Lewin Group.

Sanford Health and UnityPoint Health have agreed to merge to become an $11 billion nonprofit health system, making it among the 15 largest in the nation.

As surprise billing solutions are more readily being talked about in Congress and among healthcare leaders in the industry, Americans are blaming their insurance companies for the problem, according to a recent survey from Morning Consult and the American College of Emergency Physicians.

Arkansas, the first state to implement work requirements for certain Medicaid beneficiaries, isn’t seeing the promised benefit of increased employment as a result of the new rules, according to a recent report from The Commonwealth Fund.