Medicare pays for services furnished in a physician’s office based on the Medicare Physician Fee Schedule (MPFS), while Medicare pays for similar services furnished in hospital outpatient departments ...

Cigna will not cover MRIs and CT scans performed in a hospital setting if they don’t meet new medical necessity requirements, according to a policy that took effect Aug. 1. Other commercial insurers, ...

Medicare pays hospital outpatient departments higher rates than ambulatory surgical centers and physician offices for providing similar health services. Policy makers are considering aligning payments ...

This article is the latest in the Health Affairs Forefront featured topic, “Health Policy at a Crossroads,” produced with the support of the Commonwealth Fund and the Robert Wood Johnson Foundation.

At a hospital, innovation is more about doing something in a new way than adopting new technology, this CMO says. The new CMO of Boca Raton Regional Hospital has extensive experience in promoting ...

Hospitals could get $8 billion more in Medicare reimbursement for outpatient services next year under a new proposed rule that would raise rates by 2.4%. Hospital groups aren’t pleased, with the ...

Senators Bill Cassidy, M.D., R-Louisiana, and Maggie Hassan, D-New Hampshire, published a policy paper advocating to impose site-neutral Medicare payments on hospitals. The lawmakers argue that ...

Congress is staring down a fast-approaching Sept. 30 government funding deadline. For hospitals and health systems, the outcome could shape years of strategy and operations. House Republicans are ...

Uncertainty surrounded the future of Hospital-at-Home (HaH) programs as the end of 2024 approached, but a last-minute legislative decision ensured their continuation—at least for now. Congress passed ...

Pediatric falls in hospital settings represent a significant yet largely preventable patient safety challenge. Falls can result in pain, injury and prolonged hospital stays, while also imposing ...

Innovation initiatives help hospitals to improve the quality of care, this new chief medical executive says. In the hospital setting, frontline staff should be leaders in innovation, the new chief ...