Healthcare Reform

The yin-yang of Medicaid: Expected federal regulations will increase number of uninsured despite increase in states taking expansion dollars

Despite more states considering taking Medicaid expansion dollars, federal regulatory efforts may drive an acceleration in the number of uninsured.

Chad Mulvany, FHFMA January 23, 2020

Limited BPCI savings seen with joint replacement bundles

CMS’s new BPCI-A model incorporates patient complexity into the risk-adjustment mechanism, but it remains to be seen if it will solve all issues with the previous model.

Chad Mulvany, FHFMA January 15, 2020

Analysis: Aspire Health Founder Brad Smith chosen as new CMMI director

The change in CMMI leadership could mean long-anticipated models are released, and may signal more emphasis on palliative care in future models based on Brad Smith’s background.

Chad Mulvany, FHFMA January 14, 2020

Analysis: FY20 appropriations bills passed – lessons for potential future healthcare legislation

A review of the FY20 appropriations package to fund the federal government and a couple of ideas on lessons that might be applied to future efforts to expand coverage.

Chad Mulvany, FHFMA December 30, 2019

Enrollment largely stable in ACA marketplaces

There will be no practical impact from any court ruling on the Affordable Care Act until a Supreme Court decision comes down in 2020 at the earliest.

Rich Daly December 26, 2019

After ACA court decision, ‘Nothing is changing’ immediately

There will be no practical impact from any court ruling on the Affordable Care Act until a Supreme Court decision comes down in 2020 at the earliest.

Rich Daly December 23, 2019

A 5-month delay of the DSH payment cut is among new federal budget provisions

A delay of a $4 billion cut to hospital DSH payments was included in a year-end federal funding package.

Rich Daly December 20, 2019

‘Medicare for All’: What would it really mean for healthcare stakeholders?

“Medicare for All” would have varying impacts on hospitals, physicians and health plans but would be expected to cause financial hardship in the majority of cases.

Richard Rollo December 19, 2019

Battle emerges over value-based safe harbors included in anti-fraud overhaul

Although proposed Stark Law exceptions have drawn praise in comments from many healthcare stakeholders, others see reasons for caution.

Rich Daly December 18, 2019

Dec. 16-20: CMS comment deadlines are among upcoming healthcare finance developments

A complete listing of healthcare finance-related hearings, conferences, webinars, public forums and deadlines for the week of Dec. 16.

Rich Daly December 12, 2019
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