Hospitals to lose Medicare, Medicaid access in 14 weeks if they don’t meet daily reporting requirements
Hospitals will have 14 weeks to meet daily data-reporting requirements related to COVID-19 and the flu or face termination from Medicare and Medicaid.
Cigna’s 2021 strategies highlight MA trends and the resulting effects on providers
One MA health plan discusses how it’s changing its Medicare Advantage plans in response to market trends, the pandemic, social determinants of health and Medicare policies.
Congress alters the terms for Medicare loans
Recently passed legislation relaxes terms of the Medicare Advanced and Accelerated Payment Program loans for hospitals and and other providers.
How to lay the foundations for success under CMS’s new MDC program
The CMS Medicare Direct Contracting (MDC) program offers hospitals and health systems a unique opportunity take the next step in value-based payment and population health management. Success requires the right targeted investments in expertise and infrastructure.
More policymaking likely as the 2020 presidential election approaches
HFMA's Chad Mulvany says given the Trump administration’s focus on transparency, it’s possible the Transparency in Coverage final rule could be released prior to the election.
Mandatory Medicare ESRD model to launch in January 2021
A mandatory model for 30% of the clinicians and facilities treating kidney failure will launch Jan. 1.
CMMI announcement foreshadows more mandatory bundled payment models
HFMA's Chad Mulvany says based on recently announced changes to BPCI-A episodes, a mandatory model may be defined much broader than currently.
What can healthcare providers expect now that a COVID-19 relief package failed a procedural vote in the Senate
HFMA's Chad Mulvany says it’s not surprising the GOP's COVID-19 relief measure failed, given the package was negotiated without input from Democrats.
Despite the pandemic, hospitals continue to shift toward value-based payment
Hospitals plan to continue moving to value-based payment despite obstacles to caring for patients under risk-based contracts amid the COVID-19 pandemic.
Why Walmart is partnering with Oak Street on three in-store clinics in the Dallas-Fort Worth area
HFMA's Chad Mulvany says Walmart's partnership with Oak Street is due to Oak Street’s reputation for developing a patient-centric care model.