Medicare Payment and Reimbursement

Search for federal funding driving surprise bill legislation: advisers

A search for new federal funding is driving fast-moving surprise billing legislation and will ultimately determine if it is enacted, according to legislative advisers.

Rich Daly August 29, 2019

Public option could endanger 1,000 rural hospitals: analysis

A public-option health plan could lead to the closure of 1,000 rural hospitals, according to an analysis.

HFMA August 12, 2019

Small Medicare payment increases in store for post-acute care

The Centers for Medicare & Medicaid Services (CMS) recently issued final rules with FY20 rates for skilled nursing facilities (SNFs), inpatient rehabilitation facilities (IRFs) and hospices.

Rich Daly August 7, 2019

Analysis: Moving joint replacement procedures to the outpatient setting

A review of the potential margin impact on providers from the continued shift of high-volume, high-margin joint replacement procedures to the outpatient setting.

Chad Mulvany, FHFMA August 6, 2019

12 details to know about the IPPS final rule

CMS issued a final rule for Medicare hospital IPPS payments in FY20.

Rich Daly August 6, 2019

Single-payer concept for U.S. healthcare requires close fiscal scrutiny

The concept of "Medicare for All" has been a focus of much debate leading up to the 2020 presidential election, and the likely cost of such a program is an important factor that needs to be considered.

Ken Perez August 2, 2019

Why hospital outpatient physical therapy is a good revenue source I HFMA

It makes good business sense for health systems to make outpatient physical therapy a priority given the payment landscape for such services and the value they can provide.

John Britt August 2, 2019

Aug. 5-9: See what events are coming in healthcare

Stay ahead of healthcare news and developments with this listing of hearings, conferences, webinars, public forums and deadlines for the week of Aug. 5.

Rich Daly August 1, 2019

A look at early hospital concerns over the proposed release of negotiated charges

National hospital advocates, individual executives and an industry adviser identified early concerns with the proposed mandatory release of hospital-negotiated charges.

Rich Daly July 31, 2019

OPPS rule to bring many hospital financial challenges — and a little help

The long-awaited Medicare proposed rule for hospital outpatient payments includes a high-profile mandate on hospitals to release rates negotiated with commercial health plans, among other regulations that could pose financial challenges. Several smaller provisions could help hospitals.

Rich Daly July 31, 2019
googletag.cmd.push( function () { googletag.display( 'hfma-gpt-leaderboard' ); } );