Medicare Payment and Reimbursement

CMS’s 2022 Medicare Physician Fee Schedule proposed rule: A look at telehealth provisions and overall payment rate changes

Clinicians will be able to seek payment for providing mental health visits to Medicare beneficiaries via audio-only telehealth, according to newly proposed regulations from CMS.

Nick Hut July 15, 2021

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

Healthcare leaders offer direction on key CMS inpatient proposals for FY 2022

HFMA offers direction to CMS on several of its key inpatient proposals for 2021 as many healthcare leaders have expressed concern about these proposals.

Shawn Stack June 30, 2021

Hospital groups raise red flags about spending offsets in bipartisan infrastructure bill

The bill would be paid for in part by extending the duration of the 2% reduction in Medicare payments and by tapping into the Provider Relief Fund.

Nick Hut June 29, 2021

Medicare should update its policies for separately payable drugs in the Outpatient Prospective Payment System, MedPAC says

Worthwhile changes include requiring drugs to be proven clinically superior before granting them pass-through payment status, according to a new report.

Nick Hut June 27, 2021

Healthcare News of Note: Struggling rural hospitals have option to become stand-alone EDs to receive more funding

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: An upcoming option for rural hospitals to receive more funding, a key factor in outcomes of Black patients who receive COVID-19 care, and predictions about the hospital room of the future.

Deborah Filipek June 25, 2021

Medicare indirect medical education payments to teaching hospitals should be overhauled, MedPAC says

Although the proposals represent a significant change, most hospitals wouldn’t be projected to experience a large impact on their payments.

Nick Hut June 21, 2021

MedPAC report: Cost-based reimbursement isn’t an ideal way to sustain rural hospitals

An extensive healthcare policy report by the Medicare Payment and Advisory Commission includes a discussion about the drawbacks of cost-based Medicare reimbursement for rural hospitals.

Nick Hut June 16, 2021

CMS proposes to pull support from organ acquisitions: A grave threat to the future of U.S. organ transplants and donor programs

Transplant patient lives at risk under CMS’s proposal to stop supporting donor community hospitals excising organs for non-Medicare patients on waiting lists.

Shawn Stack June 11, 2021

CMS nearly doubles the payment rate for administering the COVID-19 vaccine in a Medicare beneficiary’s home

A payment increase for in-home COVID-19 vaccine administration is part of a strategy to improve vaccination rates, which have slowed in recent weeks.

Nick Hut June 10, 2021
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