Hospital Economics for High-Value Therapies

Policies and reimbursement under Medicare and Medicaid

Progress:

0%

Lessons

Cost-to-charge Ratios (CCRs)

a review of charges vs payments vs costs and how hospitals bill

PPS-exempt Cancer Hospitals

PCHs in the context of Medicare FFS reimbursement

Overview of Commercial Reimbursement Methods

High-level overview of commercial (private) reimbursement, focused on hospital payment methods and high-cost therapies