Medicare Payment and Reimbursement

Possible compromise in hospital price disclosure fight

While the Trump administration prevailed in the first round of the lawsuit challenging its price transparency policy, the American Hospital Association has indicated it will appeal the ruling.

Chad Mulvany, FHFMA June 25, 2020

HHS’s Cares Act Provider Relief Act FAQ updates provide additional guidance for healthcare providers

HFMA's Chad Mulvany reviews four updates from the U.S. Department of Health & Human Services, including quarterly reporting requirements, that could be of interest to HFMA members.

Chad Mulvany, FHFMA June 23, 2020

Long-term fiscal impact of the of COVID-19 pandemic on the overall federal debt and Medicare Part A Trust Fund shortfall cannot be overlooked

Recommendations from healthcare economists for savings to preserve Part A Trust Fund focus more on taxes and less on providers.

Chad Mulvany, FHFMA June 19, 2020

Congress presses for some telehealth expansion policies to remain after COVID-19

Members of Congress increasingly support making permanent temporary policies that eased use of telehealth services.

Rich Daly June 18, 2020

House bill may provide insight into coverage priorities if White House and Senate flip in November’s election

The best-case scenario for Democrats is to come out of election night with a 50-50 split of the Senate, which would allow them to pass a package of tweaks to the ACA, with the Vice-President (assuming Biden wins) casting the deciding vote.

Chad Mulvany, FHFMA June 18, 2020

Medicare reopens application period for Direct Contracting models

CMS opened the application process for Direct Contracting models to more providers.

Rich Daly June 17, 2020

How the Trump administration is weighing continued telehealth expansion

The Trump administration is examining several key factors to determine whether to continue expanded use of telehealth, says a senior official.

Rich Daly June 15, 2020

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
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