Stark, Anti-Kickback changes draw praise from providers
Final rules modifying enforcement of the Stark Law and the Anti-Kickback Statute aim to remove barriers to participation in value-based payment models.
CMS finalizes requirement for hospitals to report MA plan rates
In the FY21 IPPS final rule, CMS expanded controversial negotiated-price reporting requirements.
Providers should prepare for a possible expansion of Medicare site-neutral policies
HFMA’s Chad Mulvany says if the CY2021 OPPS rule is finalized as proposed without significant modifications to CMS's MS-DRG weight-setting process, it heightens the need for hospitals to expand outpatient/ASC capacity and continue aggressive cost management.
CMS to add COVID-19-related waivers to value-based payment models, Verma says
Medicare plans to add pandemic-era waivers to its value-based payment models as a way to incentivize provider participation.
340B cuts, inpatient-only elimination lead hospitals’ OPPS concerns
Proposed OPPS cuts for 340B hospitals and outpatient payment changes drew the most concerns from hospitals and advocates.
Proposed change to Medicare E/M payment leads to disagreement among both providers and health plans
Medicare physician payment changes for evaluation and management could have dire financial repercussions for some practices, providers warn.
Hospitals to lose Medicare, Medicaid access in 14 weeks if they don’t meet daily reporting requirements
Hospitals will have 14 weeks to meet daily data-reporting requirements related to COVID-19 and the flu or face termination from Medicare and Medicaid.
HFMA provides insight into 3 key areas of CMS’s 2021 IPPS final rule
HFMA's Chad Mulvany offers insight on key areas of the Inpatient Prospective Payment Service final rule, including market-based MS-DRG weights, Uncompensated Care DSH and Medicare bad debt requirements.
CMS finalizes requirement for hospitals to report MA plan rates
Majority of nursing homes are operating at a loss, survey finds
The majority of nursing homes are operating at a loss and three-quarters expect to run out of operating funds within a year, according to a new survey.