Elizabeth Warren’s Medicare-for-All plan: The devil in the details
Any objective analysis of Elizabeth Warren’s proposal for Medicare for All should consider its enormous societal and federal costs, and its likely impacts on the health insurance industry and hospitals.
Budgeting: Regulatory items healthcare finance leaders must consider
HFMA’s Chad Mulvany provides a list of Medicare and Medicaid regulatory payment impacts to consider when developing budgets.
Jan. 27-31: Deadline to comment on health plan price transparency rule is among upcoming healthcare finance events
A complete listing of healthcare finance-related hearings, conferences, webinars, public forums and deadlines for the week of Jan. 27.
MedPAC backs Medicare changes to increase hospital pay in 2021 by up to 3.3%
For 2021, MedPAC has recommended that hospitals’ Medicare rates increase 2%, plus a potential 0.8% quality bonus and elimination of a 0.5% quality cut.
BESLER: Full-service Transfer DRG revenue recovery
BESLER talks about its Transfer DRG revenue recovery service that helps hospitals recover monies they have rightfully earned while maintaining compliance.
Limited BPCI savings seen with joint replacement bundles
CMS’s new BPCI-A model incorporates patient complexity into the risk-adjustment mechanism, but it remains to be seen if it will solve all issues with the previous model.
BPCI Advanced participation jumps by 57% in its third year
Provider participation in the largest Medicare voluntary bundled payment program surged in its third year.
Analysis: Aspire Health Founder Brad Smith chosen as new CMMI director
The change in CMMI leadership could mean long-anticipated models are released, and may signal more emphasis on palliative care in future models based on Brad Smith’s background.
Number of Medicare ACOs stays flat, but risk-taking increases
The number of Medicare ACOs has stagnated, but many more are taking on financial risk.
More physicians shift from MIPS to APMs in Medicare
Increasing numbers of physicians paid by Medicare are shifting from the default quality-reporting-based payment option to earning bonus payments by participating in other payment models.