Provider Interest in MA Plans Surges
Most plans expected to enter the Medicare Advantage (MA) market over the next two years will be provider-sponsored, according to a health plan adviser.
Employers seek shelter from healthcare cost increases in public option
If plans and providers can’t collaborate to control healthcare cost, employers will look to the government to do so.
July 28-Aug. 2: See what events are coming in healthcare
Stay ahead of healthcare news and developments with this listing of hearings, conferences, webinars, public forums and deadlines for the week of July 28.
Aug. 12-16: See what events are coming in healthcare
Stay ahead of healthcare news and developments with this listing of hearings, conferences, webinars, public forums and deadlines for the week of Aug. 12.
Healthcare News of Note: Noncompliance with new price transparency rules appears to be common
CMS's auditing of price transparency commpliance and Tennessee's Medicaid block grant program waiver getting approved are two topics in Healthcare News of Note. Also, HFMA revamps its “Voices in Healthcare Finance” podcast.
Healthcare News of Note: Payers push back on CMS prior-authorization rule
Healthcare News of Note for healthcare finance professionals is a roundup of articles from the past week, including why payers are pushing back on the prior-authorization rule and information on HHS funding to support the nation's response to the COVID-19 pandemic.
Walmart’s plans to test narrow networks selected on quality could set stage for a shift in employer-sponsored insurance
Walmart plans a ground-breaking test of narrow networks for its employee health plan that will test both enrollee acceptance and physician cooperation.
Chronic conditions, other health issues have worsened during the pandemic, physician survey finds
The health of patients, including those with chronic diseases, is worsening during the pandemic, say clinicians.
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.
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.