Medicare Payment and Reimbursement

MedPAC report: Cost-based reimbursement isn’t an ideal way to sustain rural hospitals

An extensive healthcare policy report by the Medicare Payment and Advisory Commission includes a discussion about the drawbacks of cost-based Medicare reimbursement for rural hospitals.

Nick Hut June 16, 2021

CMS proposes to pull support from organ acquisitions: A grave threat to the future of U.S. organ transplants and donor programs

Transplant patient lives at risk under CMS’s proposal to stop supporting donor community hospitals excising organs for non-Medicare patients on waiting lists.

Shawn Stack June 11, 2021

CMS nearly doubles the payment rate for administering the COVID-19 vaccine in a Medicare beneficiary’s home

A payment increase for in-home COVID-19 vaccine administration is part of a strategy to improve vaccination rates, which have slowed in recent weeks.

Nick Hut June 10, 2021

Why fee-for-service can have a place in a reimagined healthcare system, but not as the primary mode of payment

Fee-for-service came under fire during a workshop in which prominent healthcare industry experts spoke of ways to achieve better integration of financing and care delivery.

Nick Hut June 9, 2021

Study quantifies the cost to physician practices of participating in the Merit-based Incentive Payment System

MIPS participation led to high administrative costs and a significant time drain, according to new research.

Nick Hut June 8, 2021

Survey data highlights shortcomings in private insurance coverage compared with Medicare

Indicators of coverage gaps were more likely to be seen among individuals with private insurance.

Nick Hut June 2, 2021

USA Senior Care Network provides hospitals with incremental patient volume and increased revenue

One company’s senior director explains how hospitals or health systems can grow their market share without risk of bad debt when joining this company’s network.

HFMA June 2, 2021

News briefs: In a win for hospitals, CMS removes a rate-reporting requirement from the Medicare FY22 IPPS

Recent healthcare finance and policy news included the release of the proposed rule for the FY22 Inpatient Prospective Payment System.

Nick Hut June 1, 2021

Healthcare News of Note: Health systems’ new C-suite titles reflect today’s industry issues

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: New healthcare C-suite titles, tips from CMS on securing federal funds for certain Medicaid services and a Senate subcommittee hearing on the nation’s growing mental health crisis.

Deborah Filipek May 21, 2021

As the Senate Finance Committee considers telehealth expansion, payment approaches are a key talking point

A congressional hearing featured testimony about why fee-for-service is not a viable way to fund a Medicare telehealth expansion.

Nick Hut May 20, 2021
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