Health Plan Payment and Reimbursement

More Medicaid programs increase hospital payment rates

More states have moved to increase hospitals’ Medicaid rates than to cut them — reversing a pattern from the last fiscal year.

Rich Daly October 22, 2019

Cup of Joe: Matt Eyles, CEO of AHIP

America's Health Insurance Plan President and CEO Matt Eyles discusses how health plans view price transparency and other issues facing the industry.

Erika Grotto October 15, 2019

Information imperatives for successful payer-provider collaboration

A roundtable of payer and provider leaders examines the importance of transparent communication, relationship-building and robust data sharing amid the transition to value-based care.

HFMA October 8, 2019

Optimizing Payment Receipt to Improve Cash Flow and Reduce Error

In this article, CommerceHealthcare® discusses how it marries financial foresight with healthcare insight to help clients rethink and improve receivables management, payment services and patient loan financing and lending processes.

HFMA October 1, 2019

Holliday & Associates: Comprehensive Charge Management Software

A charge management company discusses how it helps clients successfully manage charge processes, comply with changing coding and regulatory requirements, eliminate charge-related compliance risks and ensure accurate and appropriate reimbursement.

HFMA October 1, 2019

2 approaches illustrate best practices in digital patient engagement

Two health plans shared the ways they’ve improved digital engagement with both patients and providers.

Rich Daly September 26, 2019

Verma to insurers: The public is ‘frustrated with you’

Seema Verma, administrator of CMS, says health plans need to become much more innovative, or they will be eliminated due to political pressure stemming from the public’s frustration.

Rich Daly September 26, 2019

Analysis: Prospects dim for surprise bill legislation

Although a recent poll says 8 in 10 Americans support congressional action to stop surprise medical bills, prospects appear dim for legislation to pass.

Chad Mulvany, FHFMA September 17, 2019

Providers explore new territory with health plan ownership

Health systems are showing renewed interest in forming provider-sponsored health plans for a number of reasons, including rising enrollment in Medicare Advantage plans and discontent with payer-provider partnerships.

Kai Tsai August 31, 2019

What to know before rolling out a PSHP

Healthcare organizations that are launching a provider-sponsored health plan should consider four recommendations.

HFMA August 31, 2019
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