Latest / The Regional Hospital Voice Podcast
10 - The 800-Pound Gorilla: How Medicare Payment Policy Shaped the Rural Health Crisis with Tom Campanella
Mark sits down with Tom Campanella, President of Campanella Consulting, Professor Emeritus of Health Economics at Baldwin Wallace University, and a former VP of healthcare finance at Blue Cross Blue Shield of Ohio.
At Blue Cross, Tom saw firsthand that no payment model fit rural hospitals, and the plan never built one that did. Today, he’s making the case for a hybrid model that pays for what fee-for-service ignores: the cost of keeping an ER staffed for the nights no one comes in. And he argues the fix doesn’t have to wait on insurers; CMS and the states fund Medicare Advantage and Medicaid…
The skinny
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