Medicare Payment and Reimbursement

CMS is curtailing voluntary participation in the Comprehensive Care for Joint Replacement bundled payment model

Hospitals that participated in the Comprehensive Care for Joint Replacement model on a voluntary basis over the last three years will be excluded after Sept. 30.

Nick Hut May 3, 2021

In a win for hospitals, CMS removes a rate-reporting requirement from the Medicare FY22 Inpatient Prospective Payment System

An FY22 requirement for hospitals to disclose privately negotiated MA rates on their Medicare cost reports has been rescinded in the proposed rule for the Inpatient Prospective Payment System.

Nick Hut April 29, 2021

Key payment details in the Medicare FY22 Inpatient Prospective Payment System proposed rule

CMS’s FY22 proposed rule for the Inpatient Prospective Payment System includes a 2.8% payment increase for general acute care hospitals.

Nick Hut April 28, 2021

News briefs: CMS reduces Medicare payments by 25% for many providers as part of loan recoupment

News briefs for May include recoupment of Medicare advance payments, a potential issue with hospitals' 340B eligibility, and more.

Nick Hut April 26, 2021

Why the federal agency that oversees healthcare payment innovation is rethinking its approach

The director of the Center for Medicare & Medicaid Innovation is conducting a “strategic refresh” of the agency to consider how the healthcare industry’s transition to value can be improved.

Nick Hut April 25, 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

Update on Medicare payment policy for treatments involving bamlanivimab

Medicare no longer will pay healthcare providers for administering the COVID-19 treatment bamlanivimab now that the FDA has revoked the Emergency Use Authorization for treatments in which the drug is administered alone.

Nick Hut April 20, 2021

CMMI announces Direct Contracting participants but cancels second round of applications

The Center for Medicare & Medicaid Innovation announced the 53 entities that have been accepted as participants in the new Global and Professional Direct Contracting model.

Nick Hut April 9, 2021

Healthcare News of Note: Federal bailout money helped some of the nation’s wealthier hospitals prosper despite COVID-19

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles, including wealthier hospitals prospering despite COVID-19, oncologists seeing more new advanced-stage cancer patients and the burden of prior authorizations during COVID.

Deborah Filipek April 9, 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
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