Many of us are overloaded with requests to review recently purchased products and services, especially at the end of the year after the holidays! Often, reviewing product ratings is part […]

I recently learned that 2023 is the 40-year anniversary of the implementation of the Medicare hospital IPPS. I have been asked to share some reflections on this historic change to […]

The Hospital Inpatient Quality Reporting Program was initially mandated by Section 501(b) of the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003. CMS was mandated to reimburse hospitals […]

Facing the imminent insolvency of the Medicare Part A hospital insurance trust fund, Congress passed legislation in 1983 that implemented the Medicare Inpatient Prospective Payment System (IPPS). The IPPS was […]

I recently had the opportunity to talk with Chet Stroyny, a program manager for Regulatory and Government Affairs at 3M Health Information Systems, about his 50-year career in the health […]

In my last blog, I discussed mental health and substance abuse (MHSA) payment and quality in the midst of parity initiatives, team-based care and value-based payment. Certainly, adherence to fee-for-service […]

We have heard the adage: “The definition of insanity is repeating the same mistakes but expecting a different result.”  This adage can be applied to the state of mental health and […]

Time is seriously weird stuff. 2020 so far has had that dream/nightmare quality that is somehow fast and slow at the same time. My memory of February, only four months […]

Just when you started to get comfortable with the 2020 ICD-10-CM changes, CMS has published their list of proposed diagnosis code updates for October. Is it really that time of […]

As I noted in my previous blog on the changes to the IQR program, fall brings joy to some and sadness to others. With the fall comes changes to the […]

The country is revving up for the next election cycle. Like it or not, health care is a focus again and some sword-rattling is taking place regarding the IPPS (Inpatient […]

Would an Amazon-like price shopping experience for individual healthcare services help control healthcare costs? Price transparency is frequently cited as a possible strategy for reducing the cost of healthcare because […]