Health Plan Payment and Reimbursement

TransUnion Medicare DSH solution helps hospitals identify reimbursement opportunities

Medicare disproportionate share hospital payments payments help serve low-income populations, but comes with a set of challenges such as identifying eligible patients. See one company’s solution by leveraging unique processing and data integration.

HFMA August 31, 2022

Waystar simplifies existing revenue cycle systems for more effective payment

With the industry’s largest SaaS RCM platform, one company surrounds and supplements health systems’ existing systems to simplify healthcare payments.

HFMA August 31, 2022

What revenue cycle strategies enhance the patient experience

In a roundtable discussion, revenue cycle leaders chat about strategies they developed to enhance the patient experience while navigating the payment process.

HFMA August 31, 2022

The shift toward integrated pharmacy services: driving long-term success

One driving factor for health systems and hospitals shift to in-house integration pharmacy services is average turnaround time. For an outsourced specialty pharmacy, turnaround is 10 to 14 days, whereas an in-house specialty pharmacy can reduce that time to just 2.1 days.

HFMA August 31, 2022

HFMA’s virtual revenue cycle and price transparency series focuses on helping health systems re-engage consumers and improve financial performance

Beginning March 1, healthcare finance professionals can participate in several educational sessions and peer-to-peer discussions by enrolling in HFMA's virtual revenue cycle and price transparency workshop.

Deborah Filipek August 26, 2022

Final rule appears to give a boost to providers in No Surprises Act arbitration cases

A new final rule codifies updated criteria for deciding arbitration cases under the No Surprises Act, with providers potentially coming out ahead relative to last year’s interim final rule.

Nick Hut August 22, 2022

Healthcare News of Note: Americans have less confidence in the nation’s healthcare system

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Confidence in the U.S. healthcare system dips again, the median proposed health insurance premium increase for 2023 is about 10%, and improved oral care in hospitals can prevent pneumonia.

Deborah Filipek August 1, 2022

As revenue cycle challenges accumulate, a new survey suggests hospitals are taking a closer look at automation

For hospitals and health systems, survey results show that the ongoing labor crunch in revenue cycle operations has provided an impetus to expand process automation.

Nick Hut July 29, 2022

In an inflationary environment, pending Medicare payment updates don’t measure up

Consumer-focused inflation numbers aren’t as significant in healthcare as in other sectors, but prices are hampering hospitals and health systems.

Nick Hut July 25, 2022

Providers lose pair of Supreme Court decisions, including a case about disproportionate share hospital payments

In separate cases, the Supreme Court said HHS’s formula for determining DSH payments is statutorily correct and that health plans can limit outpatient dialysis coverage.

Nick Hut June 26, 2022
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