Health Plan Payment and Reimbursement

Why fee-for-service can have a place in a reimagined healthcare system, but not as the primary mode of payment

Fee-for-service came under fire during a workshop in which prominent healthcare industry experts spoke of ways to achieve better integration of financing and care delivery.

Nick Hut June 9, 2021

Why closer collaboration between healthcare providers and health plans is crucial, and where it could pay off the most

New types of provider-payer associations place an emphasis on increasing the value of healthcare rather than merely offering cost savings.

Nick Hut June 4, 2021

Survey data highlights shortcomings in private insurance coverage compared with Medicare

Indicators of coverage gaps were more likely to be seen among individuals with private insurance.

Nick Hut June 2, 2021

News briefs: In a win for hospitals, CMS removes a rate-reporting requirement from the Medicare FY22 IPPS

Recent healthcare finance and policy news included the release of the proposed rule for the FY22 Inpatient Prospective Payment System.

Nick Hut June 1, 2021

Democratic congressional leaders ramp up efforts to craft a health insurance public option, generating hospital pushback

Leading Democrats in the House and Senate sent out a request for information to healthcare stakeholders, seeking input as they look to establish a public option for health insurance.

Nick Hut May 26, 2021

Hospitals not adhering to CMS’s cost transparency rule may eventually find their public images tarnished by their noncompliance

Hospitals could lose patients and their good reputations if CMS makes public the names of those noncompliant with the latest price transparency rule.

Shawn Stack May 26, 2021

Healthcare News of Note: Hospitals ignoring federal price transparency rules get warning letters from CMS

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: CMS letters warn hospitals to abide by price transparency rules, fewer mental health services are available during the pandemic and the number of private-practice physicians undergoes a historic shift.

HFMA May 14, 2021

3 reasons healthcare providers are eager to offer text-to-pay convenience

Healthcare providers should consider the benefits of offering a text to pay option for their patients.

HFMA May 5, 2021

New HRSA funding is available to providers that administer the COVID-19 vaccine and don’t receive full payment from a health plan

The Health Resources and Services Administration announced a new program to reimburse healthcare providers for administering COVID-19 vaccines to patients whose health plans either do not cover vaccination fees or require cost-sharing.

Nick Hut May 4, 2021

Healthcare News of Note: CMS offers new guidance on making healthcare price transparency information searchable

CMS guidance on making price transparency information searchable, a correlation between job loss and nurse suicides and using incentives to move hospitals away from just-in-time PPE inventories are all topics covered in this week’s Healthcare News of Note.

Deborah Filipek April 21, 2021
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