Reimbursement models are used by payers, hospitals, physicians, and ancillary care providers to furnish data to healthcare payment contract negotiations. The many changes taking place across the ...

Patient (PT) understanding of venous thromboembolism (VTE) risks associated with lenalidomide (Len) and thalidomide (Thal), previous clots, and current prophylaxis. Background: German DRGs are an ...

Focusing on the full model estimates, the allocated APR-DRGs were the explanatory variables with the greatest coefficients. Costs for those allocated to DRG 693 increased by severity code. Compared ...

Recently, the Centers for Medicare & Medicaid Services (CMS) released the average value of hospital billed charges and their corresponding Medicare reimbursed rates for the 100 most common diagnosis ...

There are many ways that hospitals can lose money these days, including during patient discharge. The planning and documentation for those discharges can be very complex. That’s especially the case ...

This research explores a framework that uses game theory to reveal some unintended consequences that stem from efforts to reduce cherry picking and other profit-seeking practices in hospitals. The ...

INDIANAPOLIS & PRINCETON, N.J.--(BUSINESS WIRE)--Kodiak Solutions completed its acquisition of Besler & Company, LLC (BESLER), a market leader in revenue recovery and hospital reimbursement solutions, ...

AS Malaysians grapple with rising healthcare costs and increasing insurance premiums, the government is exploring a new payment model aimed at curbing medical inflation, which is scheduled to be ...

When existing systems do not accommodate access to health care innovation, we must change those systems. Fulfilling nirsevimab’s promise will require overcoming entrenched hospital payment norms.