Medicaid Payment and Reimbursement

Accounting for CARES Act Program: Loans, Advance Payments and Other Types of COVID-19 Relief

This HFMA resource provides accounting and financial reporting guidance related to COVID-19 relief under the CARES Program

HFMA July 13, 2020

Biden-Sanders panel pushes public option, targets hospital M&A

A compromise healthcare plan between presumptive Democratic presidential nominee Joe Biden and the party’s progressive wing would create a public option and promote other major changes.

Rich Daly July 13, 2020

CMS aims to spur value-based payment arrangements between drugmakers and insurers, including Medicaid

CMS says rule changes would allow more outcomes-based payment arrangements for Medicaid programs and commercial health plans.

Rich Daly June 19, 2020

Latest COVID-19 federal assistance only partially targets hospitals

Hospitals will quality for only some of the new provider-assistance funding pools HHS unveiled this week.

HFMA June 10, 2020

As states anticipate Medicaid shortfalls, hospitals urge Congress to bolster commercial plan enrollment

Hospitals are emphasizing steps to boost commercial health plan enrollment over Medicaid enrollment.

Rich Daly May 29, 2020

Medicaid provider rate cuts forecast as states anticipate budget shortfalls

Because the CARES Act prohibits states that received increased funding from cutting benefits, increasing premiums or restricting eligibility, one of the few available options to reduce costs is making provider rate cuts.

Chad Mulvany, FHFMA May 27, 2020

The increased uninsured population and changes in coverage for others requires healthcare finance departments to revise their practices

As a result of unemployment, insurance coverage has changed for millions of Americans, making it more important than ever for healthcare providers to offer financial counseling, community outreach and patient education.

Chad Mulvany, FHFMA May 21, 2020

Yes Virginia, there is a cost shift: Hospitals with higher occupancy rates due to COVID-19 provide more evidence

HFMA's Chad Mulvany says that even though the COVID-19 pandemic is a unique circumstance, emerging margin data from hospitals in the Northeast provide additional evidence in support of the cost shift.

Chad Mulvany, FHFMA April 29, 2020

The large print giveth: HHS provides more details on its plans to distribute the initial $100 billion from the CARES Act

HFMA's Chad Mulvany says healthcare providers will want to make sure they’re enrolled in the program to cover claims for uninsured patients with COVID-19.

Chad Mulvany, FHFMA April 28, 2020

$100 billion in HHS provider relief funding falls short in reimbursing healthcare organizations for COVID-19 patient care

HFMA's Chad Mulvany details why the Health and Human Service $100 billion in provider relief funding is insufficient to provide the nation's healthcare organizations with financial stability in the face of the pandemic.

Chad Mulvany, FHFMA April 14, 2020
googletag.cmd.push( function () { googletag.display( 'hfma-gpt-leaderboard' ); } );