Medicare Payment and Reimbursement

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.

Chad Mulvany, FHFMA August 24, 2020

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.

Rich Daly August 21, 2020

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.

Rich Daly August 14, 2020

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.

Rich Daly August 12, 2020

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.

Rich Daly August 11, 2020

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.

Rich Daly August 5, 2020

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.

Rich Daly August 5, 2020

What to expect from President Trump’s recent executive orders on drug prices

HFMA's Chad Mulvany says the Most Favored Nation pricing executive order faces long odds of becoming an enforced policy because it faces significant opposition from three of the most influential lobbies in Washington, D.C.

Chad Mulvany, FHFMA August 4, 2020

Hospitals decry appeals court decision upholding 340B cuts

An appeals court upheld $1.6 billion in annual Medicare payment cuts to 340B hospitals.

Rich Daly August 3, 2020

Create more accurate cost reports faster with Easy Work Papers by BESLER

A healthcare technology company talks about how its Easy Work Papers solution improves cost report accuracy and consistency, helping hospitals receive optimal revenue while maintaining compliance.

HFMA July 31, 2020
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