Medicare Payment and Reimbursement

CMS finalizes vaccination requirements for hospitals and most other healthcare settings

If hospital staff aren’t fully vaccinated by Jan. 4, their organization will be deemed noncompliant with Medicare and Medicaid regulations, according to a new rule handed down Thursday by CMS.

Nick Hut November 13, 2021

Medicare’s 2022 payment rule for physician services adds to a significant impending cut

CMS used the 2022 final rule for Medicare physician payments to offer accommodations on policies related to telehealth and more, but concerns loom about a large cut that's in the offing.

Nick Hut November 7, 2021

CMS finalizes changes to the price transparency penalty, inpatient-only list and more for 2022

Medicare policies affecting price transparency, the inpatient-only list and more will take effect Jan. 1 after CMS published its 2022 final rule for hospital outpatient departments and ambulatory surgical centers.

Nick Hut November 7, 2021

Market disruption: How 4 healthcare leaders are dealing with it in their own organizations

This roundtable reviews disruptors and how some healthcare leaders deal with new entrants to the market, telehealth and the trend of care shifting to a nonhospital environment.

HFMA November 4, 2021

Additional requirements are needed to make healthcare price transparency worthwhile, report states

Updates to price transparency regulations should address compliance and formatting and incorporate new data elements.

Nick Hut November 4, 2021

Payment approaches to addressing health equity are seen in a new Medicare rule for kidney care

Updates to a Center for Medicare & Medicaid Innovation care model for end-stage renal disease include an equity-related bonus payment and associated changes to benchmarking.

Nick Hut October 31, 2021

The impact of COVID-19 further shows the need to modify federal pay-for-performance models, hospital advocate says

Quality measures derived during the COVID-19 pandemic are not an accurate gauge of hospital performance in federal programs such as Value-Based Purchasing.

Nick Hut October 29, 2021

The Provider Relief Fund distribution formula may have left some higher-need hospitals at a disadvantage, study finds

Critical access hospitals generally received lower allocations from a targeted distribution pool compared with hospitals that had a better asset mix.

Nick Hut October 28, 2021

The Medicare area wage index likely needs a revamp, MedPAC members say

Wage index adjustments leave some hospitals at a disadvantage and are costly for the Medicare program, according to policy advisers.

Nick Hut October 25, 2021

Accountable care models will be almost universal for Medicare and Medicaid beneficiaries by 2030, CMS leaders say

A forthcoming revamp of federal value-based payment models will include features designed to encourage provider participation, CMS and CMMI leaders said.

Nick Hut October 21, 2021
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