Medicare Payment and Reimbursement

Medicare buy-in option beginning at 55 the most likely expansion route, says former CMS chief

If everything goes right for Democrats in the 2020 election, the most likely Medicare expansions are not the ones getting the headlines now, says a former Medicare administrator.

Rich Daly May 16, 2019

‘Medicare for All’: Do the numbers

Healthcare leaders can foster a productive debate about “Medicare for All” by driving analyses based on data such as cost projections, writes HFMA President and CEO Joseph J. Fifer.

Joseph J. Fifer, FHFMA, CPA May 15, 2019

Analysis: CMS looks to partner with states to expand dual-eligible care models

CMS is encouraging states to test approaches to integrating dual-eligible patients’ care to improve outcomes and reduce costs for federal and state governments.

Chad Mulvany, FHFMA May 15, 2019

Analysis: Another year closer to depleting the Part A Trust Fund

With the predicted depletion of Medicare’s hospital insurance fund, and Congress unlikely to increase taxes for working people or hike costs for beneficiates, what should healthcare finance leaders expect?

Chad Mulvany, FHFMA May 14, 2019

Making sense of Trump’s 2020 budget proposals for healthcare

Congress is almost certain not to accept president Trump’s proposed budget for FY20 with its cuts to Medicare and Medicaid, but he is not the first president to propose a budget that has little chance of being accepted.

Gail R Wilensky, PhD May 14, 2019

Ask the Experts: Provider Level Adjustments

Is there a best practice for handling provider level adjustments (PLBs) in electronic health record (EHR) systems?

HFMA May 14, 2019

Ask the Experts: Cost per day

Where can we find benchmarking data across other skilled nursing facilities related to costs per day for patient care?

HFMA May 14, 2019

4 strategies for improved Medicare Advantage plan performance

Positive operating margins in the Medicare Advantage segment require a shift toward more effectively managing Medicare populations by recognizing their unique needs and characteristics.

Tej Shah May 14, 2019

FY20 inpatient payment rule proposes changes to DSH, wage index

The proposed rule for Medicare inpatient payments could significantly affect uncompensated-care payment and wage adjustments.

Rich Daly May 9, 2019

Some Practices Leave Largest Bundle Program

Physician practices were more likely than other providers to depart from Medicare’s largest bundled payment program by the March 1 deadline to drop out, according to industry advisers.

Rich Daly May 6, 2019
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