Medicare Payment and Reimbursement

Healthcare News of Note: Telemedicine use for cancer care should be more equitable

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: There’s a need to address inequities in telemedicine use for cancer care, almost 25% of physicians report mistreatment, and most Medicare Advantage enrollees are satisfied with their plan.

Deborah Filipek June 30, 2022

Providers lose pair of Supreme Court decisions, including a case about disproportionate share hospital payments

In separate cases, the Supreme Court said HHS’s formula for determining DSH payments is statutorily correct and that health plans can limit outpatient dialysis coverage.

Nick Hut June 26, 2022

Healthcare News of Note: InstaMed report says 87% of consumers were surprised by a medical bill in 2021

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Surprise medical bills were prevalent in 2021, long-haul COVID in the United States is in the news, and a report identifies America's most segregated hospital markets.

Deborah Filipek June 21, 2022

Healthcare News of Note: Nationwide shortages of nurses, physicians and pharmacy techs drag on as surveys show clinician burnout levels continue to spike

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Healthcare professional shortages drag on as burnout levels continue to spike, Civica plans to enter the insulin market, and Medicare Advantage is now 45% of all Medicare enrollment.

Deborah Filipek June 21, 2022

Healthcare News of Note: Oracle again extends its $28.3B tender offer to acquire Cerner

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: The Oracle/Cerner deal is back in the news, medical debt is causing Americans across generations to skip rent or mortgage payments, and empathetic leaders have a positive effect on employee innovation and engagement.

Deborah Filipek June 21, 2022

Supreme Court unanimously finds that CMS veered out of bounds when it lowered drug payments for 340B hospitals

In a 9-0 ruling, the Supreme Court said CMS didn’t have the authority to lower drug reimbursement amounts for 340B hospitals as it did in 2018 and 2019.

Nick Hut June 16, 2022

State of Medicare: Trustees push back projected date of Part A insolvency, but issues must be addressed

Even though the Hospital Insurance Trust Fund now is expected to be depleted in 2028 instead of 2026, Medicare still faces daunting challenges.

Nick Hut June 15, 2022

Utilization review staff may be hurting results when fixing incorrect inpatient admissions

There's a clear financial winner when choosing a method for correcting an incorrect inpatient admission.

Ronald Hirsch, MD June 9, 2022

The financial crunch of the pandemic is unlikely to subside anytime soon for hospitals

A leading credit-rating agency says the not-for-profit hospital sector will face significant headwinds for the rest of this year and beyond.

Nick Hut May 31, 2022

25% of Medicare patients suffer clinical harm in the hospital, OIG report indicates

A quarter of Medicare patients experienced harm while being treated in hospitals during a single month in 2018, according to a new report from the HHS Office of Inspector General.

Nick Hut May 30, 2022
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