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Articles Tagged With: payments

  • Exploitation Issues Arise in Study of Human Subject Incentive Payments

    As IRBs review participant incentives for studies, they assess whether the incentives are coercive or exploitive. New research provides a snapshot of the diversity of these incentive offerings, revealing monetary payments for biomedical studies tend to be 10 times higher than payments for sociobehavioral studies.
  • Summary of HHS Guidance on Provider Relief Fund Compliance

    The reporting requirements for the Provider Relief Fund should not be a surprise to healthcare organizations. “Free” money usually comes with a lot of strings attached.

  • Department of Justice Halts Enforcement and Civil Penalties

    The Executive Office for United States Attorneys recently announced that because of the COVID-19 pandemic, the U.S. Department of Justice (DOJ) has temporarily halted enforcement actions and the collection of civil penalties. The original period ran through May 31, but DOJ said it may extend the period.

  • Study Results Suggest ASCs May Not Be Lowest-Cost Option for All Procedures

    Generally, ASCs are perceived as safe, high-quality, low-cost settings for many surgical procedures. Typically, ASC costs are lower than those in the similarly safe and high-quality settings of hospital outpatient departments, which also handle same-day surgeries. However, the authors of a recent study found there is one striking exception: outpatient joint replacement surgery.

  • Value-based Payments and Primary Care

    Over the past two decades, Medicare and commercial payers have increasing linked healthcare payments to quality. These new payment models are broadly referred to as value-based, as payers primarily focus on clinical and financial outcomes of patients rather than simply paying for services in an unsustainable fee-for-service model. This shift provides a unique opportunity for primary care to recapture its place in healthcare delivery as the original advocate for patient-centered care and the center of value. Primary care clinicians can be rewarded with additional revenue for creating efficient care delivery by developing the skill sets to manage value-based care.

  • Price increases compared for ASCs, hospitals

    The proliferation of ambulatory surgery centers has not led to a decrease in hospital outpatient surgery department prices, according to a new study funded by the Agency for Healthcare Research and Quality.

  • OIG will focus on these areas in 2016

    The Work Plan of the Office of Inspector General of the Department of Health and Human Services lists projects to be addressed during the fiscal year. The plan includes projects planned in each of the Department’s major entities, including the Centers for Medicare and Medicaid Services.