New Technology Add-On Payments (NTAP) are a class of reimbursement that are meant to help pay for new technology that is not included in the diagnosis-related group (DRG) bundled payment. Specifically ...

A key objective is to enable updates to the MS-DRG payment rates that are no longer dependent on gross charges billed by hospitals that are reduced to cost using hospitals' cost report data. Included ...

As we reported in our Managed Care Newsletter in April 2020, the CARES Act passed by Congress last year provides for a 20% increase to the DRG weights in the Medicare Inpatient Prospective Payment ...

Hospitals and insurers are fuming over the Trump administration's latest idea to lower healthcare costs by changing how CMS calculates Medicare severity DRG payments. The agency is thinking about ...