Medicare Payment and Reimbursement

Court tosses $380 million site-neutral payment cut

A federal judge rejected a large 2019 payment cut for many hospital outpatient departments.

Rich Daly September 24, 2019

Analysis: Site-neutral payment ruling favors hospitals for now

A Sept. 17 ruling by a U.S. District Judge favored hospitals by overturning the CMS rule that cut Medicare payments for E&M visits in certain hospital-based settings.

Chad Mulvany, FHFMA September 24, 2019

Do the Democratic candidates for president see a role for private insurance?

Healthcare is a major defining issue in the campaigns of the Democratic candidates for president, but their positions differ, particularly with respect to private insurance.

Gail R Wilensky, PhD September 20, 2019

Only a tiny share of hospital revenue is risk-based: Moody’s

Just 1.9% of net patient revenue for not-for-profit (NFP) hospitals in 2018 came from risk-based payment, according to a credit-rating agency.

Rich Daly September 19, 2019

Proposed mandatory models should be voluntary or delayed, providers say

The latest proposed mandatory Medicare payment models drew concerns from many providers, including hospitals that cited the potential for adverse financial impacts.

Rich Daly September 18, 2019

Verma pushes back on hospital transparency concerns

In response to concerns hospital advocates have raised about several price and quality transparency initiatives proposed by the Trump administration, one of the administration’s senior healthcare leaders said it will double down on those efforts.

Rich Daly September 16, 2019

Rural hospital meeting among next week’s key healthcare events

Healthcare finance policy events for the week of Sept. 16.

Rich Daly September 13, 2019

Sept. 9-13: Senate committee to vote on HHS funding

Senate appropriators will vote on funding for the U.S. Department of Health and Human Services, among other key healthcare finance events around the country next week.

Rich Daly September 6, 2019

New payment and service delivery models defined

A brief outline of new payment and service delivery models launched by the Centers for Medicare & Medicaid Services

Theresa Hush August 31, 2019

MedPAC meeting among next week’s key healthcare events

Healthcare finance policy events for the week of Sept. 2.

Rich Daly August 29, 2019
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