Rich Daly
About the Author
Rich Daly is senior editor, policy affairs with HFMA, based in Alabama. His healthcare policy and finance reporting experience includes staff writer positions with Modern Healthcare and Congressional Quarterly (both focused on healthcare regulatory and legislative developments); editor-in-chief of 340B Report (the only news outlet focused on daily policy, legal, and business developments in the 340B program); and serving as a content director for Sg2/Vizient Inc (producing reports on financial pain points and solutions for health systems). He previously covered daily news for HFMA and wrote features for Healthcare Financial Management magazine, where his recognitions included the Stephen Barr Award (the only individual achievement award) from the American Society of Business Publication Editors.
Latest Work
Providers urged to leverage data and strategy for successful payer negotiations
Finance leaders at hospitals and health systems can improve their negotiations with payers by using data, leveraging their market share, starting early, aligning leadership, prioritizing contract language, and reaching decision makers.
Senate passes tax bill with $1 trillion in Medicaid cuts despite concerns
The Senate passed a tax and spending reduction bill that includes over $1 trillion in 10-year Medicaid cuts, with Vice President J.D. Vance breaking a 50-50 tie, and included amendments to create a $25 billion fund for rural hospitals and accelerate the start of new Medicaid eligibility checks to 2027.
340B reporting law enacted by sixth state
Maine has enacted legislation requiring hospitals to report 340B revenue and other data, and several states have enacted laws requiring hospitals to report 340B data, while a federal rule to cut in Medicare 340B payments has not yet been introduced.
Medicaid policy changes threaten financial boon for hospitals and health systems
Medicaid legislative changes, including proposed rate caps, work requirements, and limits on provider taxes, are expected to end the financial boon for hospitals and health systems, according to S&P Global Ratings.
HFMA asks Congress to delay Medicaid cuts, study alternatives ahead of One Big Beautiful Bill vote
HFMA has written to Republican congressional leaders to suggest a three-year delay of Medicaid funding cuts while a national commission studies a comprehensive overhaul of Medicaid financing, in order to avoid immediate cuts and ensure a sustainable and predictable program for vulnerable populations.
CMS transparency update effective immediately
CMS has issued new sub-regulatory hospital price transparency guidance effective immediately, requiring hospitals to remove nine 9s as placeholder amounts from their machine-readable files and replace them with actual estimated allowed amounts, or risk facing enforcement actions.
Senate budget bill tightens Medicaid provider tax rules and limits payment rates
The Senate Finance Committee has introduced a new version of the budget reconciliation bill that would cut Medicaid more aggressively than the House-passed version, primarily through provider taxes and state-directed payments, which would result in lower limits for provider rates and a cap on future SDPs to Medicare rates.
Site-neutral payments could lead to $7.4 billion in Medicare cuts
A study found that a proposed Medicare site-neutral payment policy would cut payments by 50% across affected services, with the most aggressive proposal saving $7.4 billion annually, with the majority of savings coming from larger nonprofit hospitals.
Florida hospitals face scrutiny for transparency practices
Florida Attorney General James Uthmeier has launched a hospital price transparency enforcement initiative, while several other states have enacted laws requiring hospitals to disclose prices for services and impose penalties for non-compliance.
CMS launches initiative to crack down on Medicaid funding for undocumented immigrants
CMS is launching a series of reviews to crack down on federal Medicaid funds going to cover those unlawfully present in the country and plans to recoup any affected federal funds, while a proposed rule would reduce Medicaid funding by $52 billion over the next five years and the House has passed a bill that would end federal funding for illegal immigrants and restrict federal dollars until their citizenship or immigration status is verified.