Health Plan Payment and Reimbursement

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.

Nick Hut February 1, 2021

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.

Nick Hut January 30, 2021

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.

Deborah Filipek January 22, 2021

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.

Rich Daly January 22, 2021

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.

Deborah Filipek January 15, 2021

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.

Nick Hut January 11, 2021

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.

Deborah Filipek January 11, 2021

5 tips to safeguard 20% payment increase for treating patients with COVID-19

Healthcare organizations should be careful to ensure their practices don't put their COVID-19 payments at risk.

Lisa A. Eramo, MA December 2, 2020

For-profit hospital outlook improves to stable, according to Moody’s

Moody’s shifted its outlook for for-profit hospitals from negative to neutral in response to ongoing federal assistance and an expected volume recovery.

Rich Daly December 2, 2020

HFMA recommended coronavirus resources

The coronavirus is affecting the healthcare industry in unprecedented ways, and HFMA wants to help you stay up to date on the latest news about the outbreak. Come back to this page regularly for coronavirus resources, selected specifically for healthcare finance professionals, including Medicare information on regulations and guidelines, COVID-19 test pricing, COVID-19 coding, telehealth billing FAQs and more.

HFMA November 16, 2020
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