Medicare Payment and Reimbursement

Healthcare News of Note: Oracle-Cerner deal has the potential to transform healthcare

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Oracle’s purchase of Cerner has the potential to transform the healthcare industry, Medicare spending on physician services during 2020 never recovered to pre-pandemic levels, and patients would leave a provider after a data breach of personal information.

Deborah Filipek August 26, 2022

News Briefs: Final rule for Medicare inpatient payments brings large rate increase

As published in hfm magazine, a monthly roundup of top news for healthcare finance professionals.

Nick Hut August 25, 2022

Landmark law to curb drug prices in Medicare has potential, but implementation will be key

Newly signed legislation gives Medicare authority to negotiate the prices of certain high-cost drugs with manufacturers.

Nick Hut August 22, 2022

Final rule for Medicare inpatient payments brings a big rate increase but falls short of what hospitals sought

The final rule for Medicare inpatient payments to acute care hospitals calls for a 4.3% increase, up by more than a percentage point from the proposed rule.

Nick Hut August 3, 2022

Medicare payment updates in 3 final rules could foreshadow good news for hospitals

For hospices, inpatient psychiatric facilities and inpatient rehabilitation facilities, updated economic forecasting data resulted in payment increases of at least 1% relative to the proposed rules.

Nick Hut August 2, 2022

In an inflationary environment, pending Medicare payment updates don’t measure up

Consumer-focused inflation numbers aren’t as significant in healthcare as in other sectors, but prices are hampering hospitals and health systems.

Nick Hut July 25, 2022

New rule sets forth proposed Medicare payment policies for rural emergency hospitals

For hospitals that choose to begin operating under the new rural emergency hospital designation in 2023, Medicare will pay for any service that would be covered as a hospital outpatient department service.

Nick Hut July 21, 2022

Outpatient payment proposed rule: 340B drug payments to rise significantly in 2023 but will cut into the overall rate increase

Even before factoring in the impact of the 340B payment changes, hospital groups aren’t happy with the proposed payment update.

Nick Hut July 19, 2022

Healthcare News of Note: Newest nurses now fill the greatest number of 12-hour shifts

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: New nurses fill the largest number of shifts, some heart failure patients find the cost of medications unaffordable, and inaccuracies in CMS data make it difficult to address healthcare disparities.

Deborah Filipek July 14, 2022

CMS says EMTALA covers situations in which terminating a pregnancy is medically necessary

Even in situations that don’t qualify as life-threatening, the Biden administration says patients have the legal right to receive any type of stabilization measure at the discretion of their physician.

Nick Hut July 13, 2022
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