‘Carve outs’ among keys in managed care negotiations
Carve outs are a critical tool hospitals should use in negotiations with health plans to ensure the costs of more expensive conditions are covered.
Impact of the COVID-19 pandemic impact could cause more hospitals to breach debt covenants
If Congress does not take action to prevent financial penalties for already financially distressed hospitals, another financial hit could be the final blow for many healthcare organizations already feeling the financial impact of the pandemic.
Hospital ED visits still down 26% following declines stemming from COVID-19, CDC reports
The CDC found hospital emergency department use remained 26% below normal by the end of May.
Safety net hospitals could see increase in payments if CMS updates estimates of uninsured in 2021 IPPS final rule
HFMA's Chad Mulvany explains why a small percentage point increase in the uninsured rate could significantly impact the UC DSH dollars available to safety net hospitals at a time when they are financially struggling due to COVID-19.
Amid looming deadline, physician practices begin to receive federal coronavirus funding
Long-awaited federal coronavirus support to practices has begun to flow.
ED volumes slowest to begin recovery after COVID-19, analysis finds
ED volumes are the biggest laggards in terms of hospital volume recovery from the coronavirus pandemic.
Medicare considering making telehealth expansion permanent, Verma says
Medicare is considering making permanent some of the temporary telehealth waivers it has issued during the pandemic.
With 40% of COVID deaths, post-acute care sites get funding, scrutiny
COVID-19 focus and assistance increasingly have been turning to post-acute care providers.
Federal payments for care of uninsured COVID-19 patients to go out in mid-May
Hospitals that have tested or treated uninsured patients for COVID-19 can start receiving federal payments as soon as mid-May.
HHS identifies limits on clawbacks of CARES Act overpayments
HHS will limit reclamation of COVID-19 assistance to amounts higher than related expenses and lost revenues.