California v. Texas: What’s next?
HFMA's Chad Mulvany says we won’t know the outcome of the case until sometime in the first half of next year.
CMS finalizes requirement for hospitals to report MA plan rates
In the FY21 IPPS final rule, CMS expanded controversial negotiated-price reporting requirements.
Requirements for drug price information added to final rule on health plan price transparency
Health plans are required by a new final rule to publicly release negotiated rates with all providers and give enrollees out-of-pocket cost information for each.
News briefs October 2020: Trends in hospital volumes and margins, and other forces shaping healthcare finance
Read about the key factors that have shaped healthcare finance policy and practice.
News briefs November 2020: Trends in hospital volumes and margins, and other forces shaping healthcare finance
Read about the key factors that have shaped healthcare finance policy and practice.
Hoping to avoid being overwhelmed, safety-net hospitals urge COVID-19 prevention
Safety-net hospitals are urging the public to take COVID-19-prevention steps to keep from overwhelming the facilities.
Donations by hospitals and their employees heavily favor Biden, Democrats
Hospitals have leaned toward Biden and Democrats in their 2020 campaign giving, according to election records.
The payer episode: CMS interoperability rules and provider strategies for better conversations
Chris Hobson, from Orion Health discusses CMS’s upcoming deadline for interoperability requirements for payers and Geneva Schlabach from Vispa and Mike Duke from Baker Tilly talk about denials management.
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.