Article
09 March 2026 - by Ann Conmy, Annie P Hallum, Nicholas Johnson, Charlie Mills, Chris Smith
We explore what the Medicare-Medicaid integration opportunity could mean for states as the CMS’s new ACO LEAD model details are released.
Article
03 November 2025 - by Charlie Mills, Drew Osborne, Justin St. Andre
Our report on Maryland outpatient facility fees shows greater variation in cost-sharing percentages for Medicare FFS versus those of commercial insurance.
Article
24 July 2025 - by Spencer Marshall, Danjie Zhou, Charlie Mills
We present the latest data on reimbursement as a percentage of Medicare fee-for-service rates, a key benchmark for providers.
Article
23 July 2025 - by Charlie Mills, Chris Smith, Ranen Oomen-Danckert
Under the Pathways to Success rule, ACOs in the Medicare Shared Savings Program must carefully evaluate whether to use prospective or retrospective assignment.
Article
01 November 2024 - by Spencer Marshall, Danjie Zhou, Charlie Mills
We review the key pricing factors for the latest guidance issued by CMS for Medicare inpatient and outpatient prospective payment systems, for fiscal year 2025.
Article
25 October 2024 - by Charlie Mills, Jake Ford
A new Delaware law to limit hospital cost growth in the state will have an immediate financial impact, requiring providers to fully understand the legislation.
Article
17 October 2024 - by Peter Hallum, Charlie Mills, Mark Franklin, Lu Miao
We detail our work to help Maryland benchmark the cost and utilization of medical services against other metropolitan statistical areas for calendar-year 2022.
Video
08 August 2024 - by Charlie Mills, Bill Alto, Brian Allen, Austin Levenson
In this webinar, we will help you understand Percent of Medicare and its role in the commercial healthcare market and provide case studies.
Video
08 August 2024 - by Charlie Mills, Bill Alto, Brian Allen, Austin Levenson
Our experts discuss what falls out when using Medicare fee schedules.
Video
08 August 2024 - by Charlie Mills, Benjamin J. Diederich, David C. Lewis, Bill Alto
In this webinar, we will help you understand Percent of Medicare and its role in the commercial healthcare market and provide case studies.