Health Plan Payment and Reimbursement

University of Rochester: Using telemedicine to reach more patients with Parkinson’s disease

An academic medical center’s efforts to bring telemedicine to patients with Parkinson’s disease has reduced costs and improved outcomes.

Ray Dorsey, MD August 21, 2019

Enrollment of large-company workers in high-deductible plans reaches a historic high

The share of covered workers enrolled in high-deductible health plans (HDHPs) at large employers reached 47% in 2019.

Rich Daly August 14, 2019

Provider Risk Readiness Report

The results of a May 2019 HFMA study about risk readiness in which hospital and health system senior financial leaders share insights on their organizations’ risk capabilities and tolerance.

HFMA August 1, 2019

The price of precision medicine: 3 ways for health plans to manage genetic-testing costs

With spending on genetic testing expected to grow significantly, health plans can use three steps to get a handle on costs.

Emad Rizk, MD 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

2 states take the lead in implementing innovative healthcare reforms

Washington and Colorado are seeking to funnel noteworthy innovations in healthcare reform, including a public option, through their Medicaid infrastructures.

Pam Nicholson, MBA July 25, 2019

Analysis: Survey results show health systems prepared to take risk

Results of a recent HFMA/Navigant survey show providers are prepared to increase their level of payment risk. HFMA’s Chad Mulvany provides insight on what these results indicate.

Chad Mulvany, FHFMA July 15, 2019

Pursuing a Proactive Denials Strategy Helps Resolve Denials and Prevent Recurrence

A look at how one company is partnering with healthcare organizations to use data and technology to address the root causes of long-standing problems, including denials.

HFMA July 1, 2019

Hospital executives urge colleagues to comment on upcoming transparency rules

Hospital and health leaders were urged by their colleagues to watch for and comment on coming rules implementing this week’s White House executive order on price transparency.

Rich Daly June 28, 2019
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