Medicare Payment and Reimbursement

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

The increased uninsured population and changes in coverage for others requires healthcare finance departments to revise their practices

As a result of unemployment, insurance coverage has changed for millions of Americans, making it more important than ever for healthcare providers to offer financial counseling, community outreach and patient education.

Chad Mulvany, FHFMA May 21, 2020

CMS seeks healthcare provider comments on possible new methodology to calculate MS-DRG weights

HFMA's Chad Mulvany reviews possible technical and legal challenges CMS may face as it proposes to collect provider pricing data.

Chad Mulvany, FHFMA May 19, 2020

New hospital price transparency requirements included in IPPS proposed rule

CMS wants hospitals to start reporting median health plan payment rates and may use the information to help determine Medicare rate changes.

Rich Daly May 13, 2020
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