Clinical Integration
Hospitals and health systems are on a journey that promises to take them to a place where they can improve the lives of thousands of people all at once, not just the health of one patient at a time … where their success in addressing the social determinants of health within the communities they…
Rapid change in the health care field has led hospital leaders to search for new ways to reduce costs, increase the quality of care, and preserve access to care, so they can continue to meet their patients’ needs. For some hospitals, mergers may be the right path to meet these goals. This week the…
JAMA today published the report “How Would the Next President Ensure Competitiveness in the Health Care Marketplace?” which discusses consolidation.
A health care collaboration in rural Missouri is expanding patient access to primary and behavioral health care services. In Lexington, Mo., as in many rural communities, there are not enough local resources to meet demand for primary care, dental care and psychiatric services. Lafayette Regional…
The Department of Justice got it just right when it focused its challenge to Anthem’s acquisition of Cigna and Aetna’s acquisition of Humana on the harm to quality and innovation in health care. DOJ echoed the exact arguments we made repeatedly before antitrust officials, Congress and others about…
Last week, we released a report as part of the AHA’s on-going campaign seeking regulatory relief for hospitals and health systems. It highlights how outdated fraud and abuse regulations created under the Stark and Anti-Kickback laws are barriers to transforming patient care.
The Centers for Medicare & Medicaid Services (CMS) on July 7 released the physician fee schedule (PFS) proposed rule for calendar year (CY) 2017. In addition to standard updates to the PFS payment rates and policies, the rule also includes proposed changes related to Medicare Advantage (MA) and…
A new report released today examines some of the most detrimental legal barriers that hospitals and physicians face whenever they try to work together to transform the delivery of patient care. Unquestionably, these barriers impede the hospital field’s efforts to move from a payment system based on…
Legal (Fraud and Abuse) Barriers to Care Transformation and How to Address Them tackles seven major barriers created by the Stark and Anti-Kickback Laws and/or regulations that impact hospitals and impede their efforts to coordinate care every day.
The AHA today shared with Congress and HHS a new report that examines the barriers to transforming health care delivery created by outdated fraud and abuse laws. This report recommends the enactment of comprehensive safe harbors to remove outdated barriers and replace them with measures to foster…