Payment Reimbursement and Managed Care

Analysis: New public charge rule will drive up healthcare costs

A review of the public charge rule, scheduled to take effect Oct. 15, and how it will impact payments to health system utilization and bottom lines.

Chad Mulvany, FHFMA August 28, 2019

Analysis: UAW provides direct primary care to manage healthcare costs

A review of the benefits for both healthcare providers and unions when they partner to offer union members direct primary care.

Chad Mulvany, FHFMA August 28, 2019

Analysis: House votes to repeal ACA’s Caddie tax

A review of the potential healthcare industry impacts from a repeal of the Affordable Care Act's Cadillac tax.

Chad Mulvany, FHFMA August 28, 2019

Analysis: Medicare reference-based pricing — down but not out

Although it appears North Carolina is abandoning its efforts to implement Medicare reference-based pricing for state employees, it’s likely not the last time a large employer tries to use this cost-cutting measure.

Chad Mulvany, FHFMA August 21, 2019

Analysis: Moving joint replacement procedures to the outpatient setting

A review of the potential margin impact on providers from the continued shift of high-volume, high-margin joint replacement procedures to the outpatient setting.

Chad Mulvany, FHFMA August 6, 2019

Analysis: Medicare sequester extended as part of debt ceiling deal | HFMA

Healthcare providers should note that an extension of the Medicare sequester is part of the debt ceiling deal reached July 22.

Chad Mulvany, FHFMA August 2, 2019

Analysis: CMS releases 2018 QPP participation results

A review of the results of the 2018 CMS Quality Payment Program and what’s increasing the percentage of physicians participating.

Chad Mulvany, FHFMA August 2, 2019

Analysis: House Ways & Means Health Subcommittee advances its surprise-bill draft legislation

Although the House Energy and Commerce Health Subcommittee approved its surprise bill legislation last week, there are other factors at play in the coming weeks that could delay further action on it.

Chad Mulvany, FHFMA August 2, 2019

Analysis: Deadline passes for NC state employee Medicare reference pricing contract

An overview of the North Carolina Clear Pricing Project, its contract deadline passing and how North Carolina’s hospitals have reacted to the CPP.

Chad Mulvany, FHFMA August 2, 2019

Analysis: Results from Medicare’s mandatory joint replacement bundle

A discussion of the results of the Medicare Comprehensive Care for Joint Replacement program and three keys to implementing a successful PAC management program.

Chad Mulvany, FHFMA August 2, 2019
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