Medicaid Payment and Reimbursement

Analysis: What factors will come into play as stakeholders respond to a recent decision on Medicaid work rules

Key things to look for from all stakeholders even though the latest work requirement ruling only applies to the Kentucky and Arkansas cases.

Chad Mulvany, FHFMA May 15, 2019

Analysis: FY20 inpatient payment rule proposes changes to DSH, wage index

Chad Mulvany offers insight on some of the recent proposed changes to hospital Medicare IPPS payments. Issues discussed include the wage index, new technology add-on payments and FY20 UC DSH Factor 3.

Chad Mulvany, FHFMA May 14, 2019

Analysis: Treasury projects Congress needs to raise the debt ceiling by late summer

Legislation to raise the debt ceiling is one of a limited number of “must pass” bills that healthcare policy changes can “ride on.”

Chad Mulvany, FHFMA 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

Public-Option Bill Cuts $774 Billion in Hospital Revenue: Report

High-profile legislation that would launch a Medicare-based public option to compete against private insurers would slash national healthcare spending—primarily through reduced hospital pay, according to a new analysis.

Rich Daly May 6, 2019

Trump Budget Road-Tests Hospital Policies

Hospital impacts in the Trump administration’s proposed FY20 budget include cuts to Medicare uncompensated care, more site-neutral payments, and an extension of coming Medicaid payment cuts.

Rich Daly May 6, 2019

Medicaid Work Requirements Will Negatively Impact Hospital Finances

Medicaid work requirement projected impacts on hospital finances range from $1 million to more than $6 million.

Chad Mulvany, FHFMA May 6, 2019

Medicare rates increasingly impacting health care

Even assuming the federal government does not adopt a single-payer model such as Medicare-for-all, industry watchers see Medicare’s impact on the healthcare sector expanding.

Rich Daly May 6, 2019

More Than 15 Percent of Providers Depart BPCI Advanced

One in seven providers in the largest Medicare bundled payment model left after five months, new data reveal. But that may be good news for the program.

Rich Daly May 3, 2019

Why More than 15 Percent of Providers Are Departing BPCI-Advanced

Read why more than 15 percent of BPCI-Advanced providers are departing the program.

Chad Mulvany, FHFMA May 3, 2019
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