Research shows that observation status is much more common under Medicare Advantage – bad news for patients and hospitals alike.
Medicare (Dis)Advantage: Hospital Observation Downgrades
Medicare (Dis)Advantage: DRG Downgrades
MA plans are using millions of DRG downgrades as a “backdoor” tool for cutting hospital payments. Here are 3 ways to fight back.
Medicare (Dis)Advantage: 35 Million Prior Authorizations
Prior authorizations have become the norm in Medicare Advantage, causing treatment delays for patients and financial headaches for providers.
Medicare (Dis)Advantage: Hospitals Count the Cost
Medicare Advantage now covers more than half of U.S. seniors, putting huge new strains on healthcare delivery.
Why Private Equity Is No Strategy for Struggling Hospitals
For providers in imminent danger of closing their doors and stopping all service, private equity might be better than nothing. But only just.
Introducing the New Healthcare Research e-Brief from Ascendient
Each month, the Ascendient Research Team curates and analyzes the most pressing, most actionable healthcare research.
Hospital Community Benefit Rules: Changes Ahead
From state capitals to Washington DC, hospitals face mounting pressure to justify their tax exemption. Here are 3 things to do right now.
Chronic Care Management Reimbursement: Pitfalls & Potential
Struggling physician practices may be missing a lucrative opportunity that’s also a key to healthcare transformation.
Are Airports More “Essential” Than Hospitals?
The DOJ sues hospitals to protect competition in healthcare while the DOT pays millions to protect airline monopolies … but why?
ChatGPT for Hospitals: 3 Burning Questions
We asked a leading expert to answer 3 important questions about how hospitals might use AI technologies such as ChatGPT.