Medicare Payment and Reimbursement

HHS should ensure 340B hospitals remain eligible despite changes in payer mix, AHA says

Hospitals participating in the 340B Drug Pricing Program could lose access due to payer mix changes stemming from the COVID-19 pandemic unless HHS issues a waiver.

Nick Hut April 1, 2021

News briefs: The new COVID-19 relief legislation could result in a big Medicare payment cut

The $1.9 trillion American Rescue Plan, which was signed into law March 11, could lead to a significant reduction in Medicare revenues if Congress does not act.

Nick Hut March 30, 2021

Health system leaders state their case for prolonging the moratorium on the Medicare payment sequester

Hospitals and health systems urgently need Congress to extend the freeze on the 2% Medicare payment sequester, industry leaders said.

Nick Hut March 25, 2021

Site-neutral payments could reduce healthcare spending by at least $350 billion over 10 years, report finds

If site-neutral payments were implemented throughout healthcare, the reduction in expenditures could total as much as $672 billion over a decade, according to a new report.

Nick Hut March 22, 2021

What healthcare stakeholders should know about the new COVID-19 relief legislation

New COVID-19 relief legislation includes funding for rural hospitals, provisions to increase the affordability of health insurance and more items of note for healthcare providers.

Nick Hut March 19, 2021

Providers that administer the COVID-19 vaccine are getting a payment bump from CMS

Providers will receive an increase in the Medicare payment rate for administering the COVID-19 vaccine starting March 15, CMS announced.

Nick Hut March 15, 2021

For rural hospitals, affiliations with large health systems can be a mixed bag

Significant declines in inpatient admissions among rural hospitals that eventually close may be a consequence of affiliations with health systems.

Nick Hut March 12, 2021

Healthcare News of Note: Biden administration appears to be well-aligned with all sectors of the industry

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles, including the industry’s alignment with President Biden, why many HHS regulations could be in peril and the effect of vaccines on chronic COVID-19 symptoms.

Deborah Filipek March 12, 2021

Hospitals can use new CMS Condition of Participation regarding ADTs to enhance strategic alignment with independent physicians and post-acute providers

New requirements regarding notifications of admissions, discharges and transfers present both a challenge and a strategic opportunities for hospitals.

Lisa A. Eramo, MA March 10, 2021

With insolvency looming for the Medicare Hospital Insurance Trust Fund, provider payments could be impacted

The Medicare Hospital Insurance Trust Fund, used to pay for Part A hospital care, is on track to become insolvent as soon as 2024. Insolvency could lead to delays in payments to providers and adversely affect patient access.

Nick Hut March 8, 2021
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