GAO report examines how pass-through status affects Medicare payments for drugs used in outpatient care
A Government Accountability Office report finds that Medicare pays more to cover drugs used in hospital outpatient settings when pass-through payment status is in effect.
Continued growth in employer-paid healthcare premiums may spur employers to find alternative solutions
HFMA's Chad Mulvany says large employers have signaled a possible end to their patience for traditional players to provide a traditional solution, and he reviews what solutions they could pursue instead.
Business Group on Health’s Annual Survey: Large employers ready to take the reins on healthcare cost
Responses to the Business Group on Health's annual survey of its large employer members suggest employers are tired of waiting for providers and plans to figure out how to reduce healthcare cost.
Looking beyond CMS: How to accelerate the transition to value in healthcare
HFMA's Chad Mulvany summarizes a blog on actions CMS and Congress can take to transition providers to capitated and other risk-bearing payment models.
A scarcity of rural ICU beds means little revenue amid the COVID-19 resurgence
Half of low-income rural areas lack ICU beds, which is depriving hospitals of revenue during ongoing COVID-19 surges.
Why a crisis makes finance-clinical collaboration more important
Crisis, like the COID-19 pandemic, underscores the need for and benefits from better collaboration between finance and clinical leaders of healthcare organizations.
‘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.