For the No Surprises Act arbitration process, 2023 brings a steep fee hike and continuing litigation
The No Surprises Act’s independent dispute resolution (IDR) process is about to become more expensive for healthcare stakeholders. In 2023, the nonrefundable administrative fee due from each party involved in any payment dispute that goes to arbitration will increase from $50 to $350, according to a Dec. 23 memo from CMS’s Center for Consumer Information and Insurance…
Healthcare News of Note: What were the 5 most-read Healthcare News of Note blog entries of 2022?
This week’s edition of Healthcare News of Note is devoted to the top five Healthcare News of Note blog posts from 2022. Find out what topics healthcare finance professionals found most interesting in this year-end wrap-up.
Beyond the News: Nick and Shawn discuss No Surprises, disruptors and everything else that made healthcare industry headlines in 2022
HFMA Senior Editor Nick Hut and HFMA Policy Director Shawn Stack discuss the top stories of 2022 in this special year-end episode.
Healthcare News of Note: More than 3,500 deaths in the US attributed to long COVID during a 30-month period
For a 30-month period beginning in January 2020, long COVID played a part in the deaths of 3,544 people, according to a report by the CDC’s National Center for Health Statistics. The Department of Justice has support from hospital advocates as it looks to appeal a court ruling that allowed UnitedHealth Group to acquire Change…
How healthcare organizations are navigating the era of price transparency
In this roundtable, healthcare leaders from across the nation discuss how their health systems are navigating regulations around price transparency, common challenges and the effect on their organizations.
Preparing for risk-based contracting and value-based healthcare presents challenges and opportunities
The traditional economics of care delivery in a fee-for-service payment model are placing providers and insurers alike at increasing risk of being unable to fulfill their mission and purpose. Yet many organizations are ill-equipped to succeed in a reimbursement environment defined by provider organizations taking on meaningful downside risk. In a roundtable discussion, Kaufman Hall…
David Johnson: The end of traditional nonprofit healthcare business models?
What is going on with nonprofit health systems? I recently gave a keynote address to an investor forum that included CEOs from roughly a dozen nonprofit health systems. We dug into the structural and environmental challenges confronting their organizations. When queried, over half the CEOs admitted that their asset-heavy business models were not sustainable. Most…
FY 2023 Hospice Wage Index and Payment Rate Update Final Rule Summary
HFMA provides a detailed summary of the final rule updating the Medicare hospice payment rates for fiscal year 2023.
Massive federal spending bill alleviates reimbursement concerns for hospitals, but less so for physicians
Healthcare provider advocates applauded the inclusion of key reimbursement relief measures and other policies in a proposed federal spending bill for FY23, although physician groups expressed concern about the outlook for their constituents. With a divided Congress looking to muster the votes to pass the legislation before a self-imposed deadline of week’s end, the bill includes many…
HFMA staff discuss the biggest healthcare news stories of the year
Nick Hut, Shawn Stack, Brad Dennison, Paul Barr, Eric Reese, Crystal Milazzo, Deb Filipek and Melanie Binder join the podcast to talk about the hottest topics of 2022.