HFMA
About the Author
HFMA
Latest Work
The power of connection: Redefining healthcare collaboration through payer-provider interoperability
By leaning into a new era of payer-provider interoperability through technology investments and collaborative innovation and communication, healthcare organizations can strengthen health outcomes while building better relationships with consumers. Learn more about critical elements for success in this white paper.
Operational resilience is the revenue cycle management imperative of the OBBBA era
The One Big Beautiful Bill Act (OBBBA) has altered Medicaid eligibility in ways hospitals can no longer treat as a background policy issue. Reverification of Medicaid coverage now happens so frequently that patients lose coverage for administrative reasons that have nothing to do with whether they actually qualify. Much of the industry dialogue has centered…
DMEPOS Fee Schedule Rate Comparison Tables for 2025 and 2026
HFMA presents a spreadsheet comparing calendar year 2026 to 2025 payment rates for the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) fee schedule.
Transparency in Coverage Proposed Rule Summary
HFMA presents a detailed summary of a proposed rule published by the Departments of Labor, Health and Human Services, and the Treasury in the December 23, 2025,Federal Register, updating the Transparency in Coverage regulations.
Alternative Payment Model Updates and the Increasing Organ Transplant Access Model Proposed Rule Summary
HFMA presents a detailed summary of the proposed rule that would update and revise the Increasing Organ Transplant Access (IOTA) Model.
MACPAC December 2025 Public Meeting Summary
HFMA presents a detailed summary of the Medicaid and CHIP Payment and Access Commission’s (MACPAC’s) public meeting held on December 11, 2025.
OBBBA Medicaid impacts: How to navigate state-directed payment revenue reduction
On July 4, 2025, President Trump signed the One Big Beautiful Bill Act (OBBBA) into law, initiating one of the most significant shifts in federal fiscal policy in recent years. The legislation introduces sweeping tax reforms and spending reductions, with healthcare providers positioned to experience the most substantial impact. OBBBA authorizes a $1 trillion reduction in federal Medicaid spending…
2026 Physician Fee Schedule Specialty Impact Tables
HFMA presents a specialty impact analyses contained in one spreadsheet based on the 2026 Medicare physician fee schedule final rule.
Comparison of CY 2026 Physician Fee Schedule Payment Rates to the 2025 Payment Rates
HFMA presents a spreadsheet comparing 2026 physician fee schedule payment rates to 2025 payment rates.
MedPAC December 2025 Public Meeting Summary
HFMA presents a detailed summary of the MedPAC public meeting held on the December 4-5, 2025.