Medicare Payment and Reimbursement

Impact of the COVID-19 pandemic impact could cause more hospitals to breach debt covenants

If Congress does not take action to prevent financial penalties for already financially distressed hospitals, another financial hit could be the final blow for many healthcare organizations already feeling the financial impact of the pandemic.

Chuck Alsdurf June 11, 2020

Safety net hospitals could see increase in payments if CMS updates estimates of uninsured in 2021 IPPS final rule

HFMA's Chad Mulvany explains why a small percentage point increase in the uninsured rate could significantly impact the UC DSH dollars available to safety net hospitals at a time when they are financially struggling due to COVID-19.

Chad Mulvany, FHFMA June 8, 2020

Study: Medicare Advantage enrollees less likely than traditional Medicare enrollees to use both institutional post-acute care and home health care

HFMA's Chad Mulvany says where there is competition for PAC discharges, providers should partner with high-quality PAC providers.

Chad Mulvany, FHFMA June 2, 2020

Delayed care will have a butterfly effect on the Medicare Advantage rate setting

HFMA’s Chad Mulvany says healthcare providers can take specific actions to reengage with patients who are postponing and/or avoiding healthcare for fear of being exposed to COVID-19.

Chad Mulvany, FHFMA May 27, 2020

Medicare considering making telehealth expansion permanent, Verma says

Medicare is considering making permanent some of the temporary telehealth waivers it has issued during the pandemic.

Rich Daly May 27, 2020

Federal payments for care of uninsured COVID-19 patients to go out in mid-May

Hospitals that have tested or treated uninsured patients for COVID-19 can start receiving federal payments as soon as mid-May.

Rich Daly May 26, 2020

HHS identifies limits on clawbacks of CARES Act overpayments

HHS will limit reclamation of COVID-19 assistance to amounts higher than related expenses and lost revenues.

Rich Daly May 26, 2020

Hospitals shed 135,000 jobs in April while losing an estimated $51 billion

Hospitals shed 3% of their workforce in April as the coronavirus and related government policies led to an estimated $51 billion revenue loss.

Rich Daly May 26, 2020

HHS offers providers some clarification on CARES Act funding

Some details of CARES Act funding were clarified by an HHS spokesperson this week, but other important details remained unclear.

Rich Daly May 26, 2020

Moody’s projects cash will be stable for rated hospitals through the summer

Federal assistance programs should stabilize hospital cash through the summer, when Medicare repayments will create major financial pressure.

Rich Daly May 26, 2020
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