HFMA provides insight into 3 key areas of CMS’s 2021 IPPS final rule
HFMA's Chad Mulvany offers insight on key areas of the Inpatient Prospective Payment Service final rule, including market-based MS-DRG weights, Uncompensated Care DSH and Medicare bad debt requirements.
CMS finalizes requirement for hospitals to report MA plan rates
Pandemic increases pressures for rural hospitals struggling pre-COVID-19
HFMA's Chad Mulvany says weakened rural providers will likely seek to align more closely or be acquired by a larger healthcare system or merge with one another to gain economies of scale.
Looking beyond CMS: How to accelerate the transition to value in healthcare
HFMA's Chad Mulvany summarizes a blog on actions CMS and Congress can take to transition providers to capitated and other risk-bearing payment models.
HHS updates COVID-19 payment and reporting requirements
Hospitals will need to meet testing requirements after Sept. 1 to receive future Medicare payment increases for treating COVID-19 patients.
Critical access hospitals will avoid Medicare cuts stemming from Paycheck Protection Program loans, Verma says
CMS does not intend for PPP loans to factor into Medicare payments to rural providers, the agency’s administrator recently clarified.
Rural payment pilots could pave the way to revamped hospital business models
A new rural payment model will test capitated and ACO payments and could encourage major changes in hospital business models.
HHS reopens applications for COVID-19 provider assistance
Providers that rejected the first round of federal coronavirus grants will have another chance in August to seek some of those funds, as will other categories of providers.
OPPS proposed rule would eliminate ‘inpatient only’ list of procedures
The CY21 OPPS proposed rule would eliminate the inpatient-only list of services over three years while increasing the number of ASC-eligible procedures, and also would increase 340B payment cuts and overhaul the hospital star-rating system.
Trump orders new rural payment model, permanent expansion of telehealth
President Trump ordered HHS to develop a new payment model for rural healthcare providers and to use its regulatory authority to make telehealth expansion permanent.