Medicare Payment and Reimbursement

Many ‘failed’ federal healthcare quality programs need to end, analysts say

Experts on value-based payment say many federal programs have failed to produce results and need to be swept aside.

Rich Daly February 19, 2020

In response to providers, CMS offers further specifics about direct contracting

CMS officials further clarified the coming direct-contracting model during a series of discussions with providers.

Rich Daly February 14, 2020

Jan. 6-10: CMS direct-contracting updates are among upcoming healthcare finance events

A complete listing of healthcare finance-related hearings, conferences, webinars, public forums and deadlines for the week of Jan. 6.

Rich Daly February 14, 2020

“Medicare for All” isn’t equitable for all hospitals

A payment model in which 100% of payments are based on Medicare rates should take into account the inherent disadvantages of such an approach for the large hospitals, including academic medical centers, that provide most Medicare outlier cases.

Glen Kazahaya February 13, 2020

Implications for a CFO-led strategic response to a Medicare-based payment system

If a payment model that bases payment on Medicare rates is adopted, CFOs should prepare for its financial implications by implementing a modified benchmarking system that accounts for outliers.

Glen Kazahaya February 13, 2020

A single-payer system based on Medicare rates poses inherent challenges

A payment model under which 100% of payments are based on Medicare rates r\aises important questions of how to fund such a plan.

Glen Kazahaya February 13, 2020

Trump administration details hospital spending plans in FY21 proposed budget

The Trump administration signaled its federal healthcare spending priorities in its proposed annual budget, which includes a slew of hospital cuts.

Rich Daly February 12, 2020

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.

Ken Perez January 31, 2020

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.

Chad Mulvany, FHFMA January 27, 2020

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.

Rich Daly January 24, 2020
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