Sep 17, 2019

Judge quashes rule that cut hospital clinic payments

A doctor examines a patient in clinic. Photo: Jeff Gritchen/Digital First Media/Orange County Register via Getty Images

A federal judge on Tuesday threw out a regulation that slashed Medicare payments for routine checkups in doctors' clinics that are owned by hospitals. Modern Healthcare first reported the decision.

Why it matters: This is a major victory for hospitals, which sued the Trump administration over the rule. The cuts affected less than 1% of all Medicare outpatient spending, but proponents argued the "site-neutral" policy is needed to help prevent providers from treating patients in higher-cost settings.

Go deeper

Hospitals' increasing revenue from outpatient testing

Photo by John Moore/Getty Images

The gap between what hospitals and physician offices were paid by fee-for-service Medicare for outpatient cardiovascular tests increased between 2005 and 2015, as did the proportion of these tests that took place in hospitals, according to a new study in JAMA Internal Medicine.

Between the lines: When payment rates depended on where the tests were performed, there was a shift in volume toward the more expensive location.

Go deeperArrowOct 15, 2019

Industry pushes back on proposed hospital price transparency rule

Illustration: Sarah Grillo/Axios

Comments on the Trump administration's proposed rule requiring the disclosure of negotiated hospital prices reveal the ongoing battle between the hospital industry and patient advocates, Wall Street Journal reports.

Between the lines: The industry is fiercely protective of negotiated rates and adamantly opposes the administration's proposal.

Go deeperArrowSep 30, 2019

Hospitals are getting into the housing business

Hospitals have discovered that it's not only better for patients' health if they have somewhere to live, but it's also often cheaper for the hospital to provide housing than a long inpatient stay, USA Today reports with Kaiser Health News.

The big picture: Hospitals across the country are looking at ways to address homelessness, including building their own housing units.

Go deeperArrowOct 3, 2019