Payors

medicaid
Can a Medicaid Admission be Profitable?

Medicaid reimbursement has traditionally been something of a bitter pill for healthcare providers, especially acute-care hospitals. Medicaid rates vary across states and locations, but the average figure is usually said to be only about 60 percent of Medicare or private insurer rates, depending on the service. That rarely covers the…

Risk-Sharing-101-Graphic
Instituting True Risk-Based Payments

Guest post by Mark Marten of HealthCare Information Management, Inc In a time where many in this nation are confused about the direction of health care, we look toward the future. Regardless of the design one thing is clear, we need more accountability in health care. There still isn’t a clear…

Hospital Construction
Commercial Groups Driving Force Behind ACOs Development

Accountable care organizations (ACOs) are often touted as the healthcare delivery model of the future. Though CMS’ Medicare Shared Savings Program gets lots of attention from analysts and the media, the real direction of ACOs is being determined behind the scenes in the private sector. Commercial ACOs cover millions of…