Health Plan Payment and Reimbursement

Congress seeks stepped-up hospital price transparency enforcement as compliance issues continue to emerge

The bipartisan leadership of a congressional committee is urging HHS to enforce price transparency rules more stringently.

Nick Hut April 15, 2021

Hospital investments should emphasize the virtual over the physical, Wall Street panelists say

Virtual-care capacity represents a better investment for healthcare providers than brick-and-mortar expansions, according to a Wall Street analyst.

Nick Hut April 12, 2021

News briefs: The new COVID-19 relief legislation could result in a big Medicare payment cut

The $1.9 trillion American Rescue Plan, which was signed into law March 11, could lead to a significant reduction in Medicare revenues if Congress does not act.

Nick Hut March 30, 2021

Congressional hearing showcases the divergence in the two parties’ views on how to improve U.S. healthcare

One witness at a hearing of a House subcommittee touted price transparency as an essential tool for addressing healthcare costs.

Nick Hut March 27, 2021

Site-neutral payments could reduce healthcare spending by at least $350 billion over 10 years, report finds

If site-neutral payments were implemented throughout healthcare, the reduction in expenditures could total as much as $672 billion over a decade, according to a new report.

Nick Hut March 22, 2021

What healthcare stakeholders should know about the new COVID-19 relief legislation

New COVID-19 relief legislation includes funding for rural hospitals, provisions to increase the affordability of health insurance and more items of note for healthcare providers.

Nick Hut March 19, 2021

Providers that administer the COVID-19 vaccine are getting a payment bump from CMS

Providers will receive an increase in the Medicare payment rate for administering the COVID-19 vaccine starting March 15, CMS announced.

Nick Hut March 15, 2021

How a health system prepared to comply with CMS’s new price transparency rule

The efforts of one health system to meet state and federal price transparency regulations shows the benefit of integrating transparency efforts into a broader organizational strategy.

Elizabeth Barker March 12, 2021

New federal guidance seeks to clarify reimbursement of COVID-19 testing and vaccinations

Federal agencies have issued new guidance intended to make it easier for healthcare providers to receive reimbursement for administering COVID-19 tests to insured individuals and for giving vaccinations to the uninsured.

Nick Hut March 1, 2021

RAND report finds regulating hospital prices would be the most effective way to reduce healthcare spending, but are the proposals viable?

The American Hospital Association had a negative reaction to study findings showing that regulation of hospital prices would be the most effective way to reduce prices paid by commercial insurers.

Nick Hut February 21, 2021
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