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.
Health System Profits Are Widespread Despite Operating Losses
Greg Flicek |Big health systems are turning profitable again, but investment income may be masking deep – and unsustainable – operational woes.
Chronic Care Management Reimbursement: Pitfalls & Potential
Struggling physician practices may be missing a lucrative opportunity that’s also a key to healthcare transformation.
Strategic Planning for Hospitals: Why Worry About the Surge
Lately we’ve seen record interest in our strategic planning services for hospitals – and that could be a bad sign for the U.S. healthcare system.