Front-line stories: How today’s prior authorization processes create a burden of waste for providers
As hospitals continue to struggle with razor-thin margins, they should actively identify activities that create financial burdens for them without delivering value to patients. One health system’s stories of administrative waste due to prior authorization processes show why this activity should be be high on their list.
Report: Large sampling reveals 30% of hospitals haven’t complied with any aspect of the new price transparency requirements
Hospitals have had an easier time posting the required price information for consumer-friendly shoppable services than for all the services in their chargemaster, according to a large survey.
A look at some of the healthcare-specific provisions in the pending COVID-19 relief legislation
As a $1.9 trillion COVID-19 relief package makes its way through Congress, provisions under consideration could affect the Provider Relief Fund, the Affordable Care Act insurance marketplaces and Medicaid.
Panel: How the healthcare industry can achieve a higher-value and more equitable system
A panel of experts explored how to make healthcare more effective both generally and for underserved demographics specifically.
Biden’s order to reopen the ACA marketplaces next month draws praise from hospitals
An executive order by President Joe Biden directed HHS to open the Affordable Care Act marketplaces for three months starting in mid-February.
Healthcare News of Note: Recent CMS regulations are in limbo under the new administration
News of Note for healthcare finance professionals is a roundup of articles from the past weeks, including, the Biden administration ordering a review of recently finalized regulations across government agencies, leaving the fate of several new CMS rules in question.
Nov. 11-15: HFMA’s Virtual Conference among next week’s healthcare finance events
HFMA’s Virtual Conference is among the major healthcare finance events taking place the week of Nov. 11.
Healthcare News of Note: Noncompliance with new price transparency rules appears to be common
CMS's auditing of price transparency commpliance and Tennessee's Medicaid block grant program waiver getting approved are two topics in Healthcare News of Note. Also, HFMA revamps its “Voices in Healthcare Finance” podcast.
New legislation seeks to take unwelcome surprises out of patient billing
A new law called The No Surprises Act is designed to prevent healthcare consumers from getting stuck with potentially large bills after receiving out-of-network care.
Healthcare News of Note: Payers push back on CMS prior-authorization rule
Healthcare News of Note for healthcare finance professionals is a roundup of articles from the past week, including why payers are pushing back on the prior-authorization rule and information on HHS funding to support the nation's response to the COVID-19 pandemic.