COVID-19 exacerbates bankruptcy for at-risk hospitals
HFMA's Chad Mulvany says there will be a greater number of hospital bankruptcies the longer Congress and the administration dither on additional relief to providers and if more providers have to reduce the volume of non-emergent services due to spiking COVID-19 cases.
COVID-19 interim final rule focus: Increased Medicare payment for qualifying COVID-19 treatment
HFMA's Chad Mulvany says HFMA believes CMS should modify the NCTAP payment as HFMA is concerned that payment methodology will not cover the cost of qualifying new COVID-19 treatments provided to Medicare beneficiaries.
Physicians score well in Quality Payment Program but receive little for it
HFMA's Chad Mulvany says the Merit-based Incentive Payment System (MIPS) program needs to be simplified to allow all providers to participate without it being overly burdensome.
For hospitals, Biden’s healthcare policies include many unknowns
Presidential front-runner Joe Biden has far-reaching healthcare policy proposals, but many details and outcomes remain unknown.
CMS finalizes requirement for hospitals to report MA plan rates
In the FY21 IPPS final rule, CMS expanded controversial negotiated-price reporting requirements.
A murky step in the right direction: HHS releases updated CARES Act Provider Relief Fund guidance
HHS, in a recent update, partially reverts back to the June 19 FAQs, which based the amount of PRF a provider is entitled to on lost revenue as opposed to its switch to lost margin in the Sept. 19 guidance.
Donations by hospitals and their employees heavily favor Biden, Democrats
Hospitals have leaned toward Biden and Democrats in their 2020 campaign giving, according to election records.
Providers should prepare for a possible expansion of Medicare site-neutral policies
HFMA’s Chad Mulvany says if the CY2021 OPPS rule is finalized as proposed without significant modifications to CMS's MS-DRG weight-setting process, it heightens the need for hospitals to expand outpatient/ASC capacity and continue aggressive cost management.
Medicare readmissions reduction program penalizes hospitals inaccurately, study finds
The hospital readmissions reduction program incorrectly penalizes hundreds of hospitals, according to new research.
Latest HHS provider relief fund FAQs offer insight into what’s permissible under the Sept. 19 reporting requirements
HFMA's Chad Mulvany says due to HHS's whipsaw approach to the provider relief fund FAQs and guidance, any clarity to be derived from the Phase 3 application instructions and FAQs needs to be considered with a measure of caution.