Health Plan Payment and Reimbursement

5 tips to safeguard 20% payment increase for treating patients with COVID-19

Healthcare organizations should be careful to ensure their practices don't put their COVID-19 payments at risk.

Lisa A. Eramo, MA December 2, 2020

For-profit hospital outlook improves to stable, according to Moody’s

Moody’s shifted its outlook for for-profit hospitals from negative to neutral in response to ongoing federal assistance and an expected volume recovery.

Rich Daly December 2, 2020

HFMA recommended coronavirus resources

The coronavirus is affecting the healthcare industry in unprecedented ways, and HFMA wants to help you stay up to date on the latest news about the outbreak. Come back to this page regularly for coronavirus resources, selected specifically for healthcare finance professionals, including Medicare information on regulations and guidelines, COVID-19 test pricing, COVID-19 coding, telehealth billing FAQs and more.

HFMA November 16, 2020

Hospitals’ challenge to new transparency rule draws skepticism from appeals court

A federal appeals panel appeared hostile to many hospital arguments in a case challenging a looming price transparency requirement.

Rich Daly November 2, 2020

Employers again are planning to expand their use of narrow networks, survey finds

Large employers again say they plan a big increase in the use of narrow networks, a scenario made more likely by the pandemic.

Rich Daly October 23, 2020

Continued growth in employer-paid healthcare premiums may spur employers to find alternative solutions

HFMA's Chad Mulvany says large employers have signaled a possible end to their patience for traditional players to provide a traditional solution, and he reviews what solutions they could pursue instead.

Chad Mulvany, FHFMA October 22, 2020

Q&A: Humana expands value-based payment push

One MA health plan discusses how it’s pushing further into value-based payment and what that means for providers.

Rich Daly October 12, 2020

Cigna’s 2021 strategies highlight MA trends and the resulting effects on providers

One MA health plan discusses how it’s changing its Medicare Advantage plans in response to market trends, the pandemic, social determinants of health and Medicare policies.

Rich Daly October 2, 2020

Deductibles rising, underinsurance rates worsening in individual coverage, survey finds

Deductibles and underinsurance are increasing among those with individual-market coverage.

Rich Daly September 19, 2020

ED, inpatient volumes have stagnated since June, analysis finds

Hospitals’ ED and inpatient volumes have not improved since the June surge in patients following the resumption of most hospital services after COVID-19 service suspensions were lifted.

Rich Daly September 18, 2020
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