Hospital-at-Home: How to Reenergize This Key Program
These 10 Points Lay Out the Biggest Barriers – From Costs to Complex Rules – and the Reforms Needed to Put More Hospital Care in Homes Nationwide
Building a better health care system by redesigning payment and financing.
These 10 Points Lay Out the Biggest Barriers – From Costs to Complex Rules – and the Reforms Needed to Put More Hospital Care in Homes Nationwide
Expert Insights
Replacing Flawed Current Payment Methods With the Machine Learning Model “Franklin,” Might Thwart Upcoding and Favorable Enrollee Selection by Medicare Advantage Firms
Former Obama and Trump Advisors Find Some Common Ground at D.C. University of Pennsylvania Event
CMS Should Ensure That Temporary Spending Shocks—Such as the Recent Spike in Skin Substitute Costs—Are Not Mechanically Carried Forward Into Future MA Payments for 2027 and Beyond. But CMS Should Also Move Beyond the Decades-Old HCC Framework and Modernize its Risk Adjustment Approach.
Penn LDI Panel Cites Costs for Enrollees Alongside Billions in Overpayments and Systemic Gaming
For-Profit Hospitals Saw the Largest ER Gains, With Smaller Effects at Nonprofits
Health Insurer Acquisition of PBMs — the Prescription Drug Middlemen — Raised Premiums for Some Part D Beneficiaries