Medicaid Payment and Reimbursement

Newer payment models should be part of holistic transformation efforts, CMS deputy administrator says

Healthcare industry stakeholders can expect a new approach to how federal payment models are formulated, as a newly released rule for Medicare coverage of kidney care illustrates.

Nick Hut July 9, 2021

The state of the 340B program: What the Supreme Court’s Affordable Care Act ruling meant, and which issues still loom

An under-the-radar aspect of the Supreme Court’s ruling on the Affordable Care Act involved hospital eligibility for the 340B program, an industry expert says.

Nick Hut June 25, 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

Healthcare News of Note: Health systems’ new C-suite titles reflect today’s industry issues

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: New healthcare C-suite titles, tips from CMS on securing federal funds for certain Medicaid services and a Senate subcommittee hearing on the nation’s growing mental health crisis.

Deborah Filipek May 21, 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

Prospective CMS administrator’s confirmation hearing highlights Congress’s desire to expand telehealth coverage

In a confirmation hearing for prospective CMS Administrator Chiquita Brooks-LaSure, various members of the Senate Finance Committee expressed their hope to implement a permanent expansion of Medicare telehealth coverage.

Nick Hut April 21, 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

Better integration with primary care can help address the ongoing mental health and addiction crisis, report finds

Enhanced network adequacy standards, value-based payment models and targeted investments in technology are vital to improving behavioral healthcare in a way that will meet escalating needs.

Nick Hut April 5, 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

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
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