Medicare Payment and Reimbursement

Slow expansion of SDOH benefits expected in 2020 MA health plans

MA health plans are expected to incrementally increase in 2020 their use of programs targeting the social determinants of health.

Rich Daly July 29, 2019

Verma points to hospitals as the largest driver of healthcare costs

The Trump administration’s Medicare leader singled out hospitals as the leading driver of healthcare cost increases.

Rich Daly July 25, 2019

‘Medicare for All’ to cost hospitals $200 billion annually, analysis finds

Although a slice of hospitals might financially benefit from a single-payer model based on Medicare rates, 90% would face cuts totaling $200 billion each year, according to a new industry analysis.

Rich Daly July 24, 2019

Analysis: New mandatory radiation therapy payment model

Details about the new five-year mandatory radiation therapy model released by CMS the week of July 8 are reviewed.

Chad Mulvany, FHFMA July 18, 2019

Analysis: Administration’s plans on drug pricing faced recent multiple setbacks

In the face of recent, multiple setbacks on the Trump administration’s proposals for drug pricing, the administration could move aggressively forward on its anticipated International Pricing Index Model for Part B drugs proposal.

HFMA July 16, 2019

Mandatory models among 6 newly proposed Medicare demos

Mandatory models for kidney care and oncology were among six new Medicare payment models proposed in mid-July.

Rich Daly July 15, 2019

‘Medicare for All’ leader laments Medicare problems

A leading congressional advocate of “Medicare for All” this week excoriated Medicare for the billing problems she dealt with during her late husband’s last years of declining health. But she insists such headaches would not follow expansion of the program to all Americans.

Rich Daly July 12, 2019

July 14-19: See what events are coming in healthcare

Stay ahead of healthcare news and developments with this listing of hearings, conferences, webinars, public forums and deadlines for the week of July 14.

Rich Daly July 12, 2019

Rural-state hospitals hail changes to Medicare wage index

Rural-state hospitals strongly back a proposed Medicare area wage index (AWI) change, but national hospital advocates are warning against it.

Rich Daly July 10, 2019

Is healthcare’s focus shifting from value to pricing?

Federal policy advisers see a shift from value-based payment to policies focused on cutting provider payments.

Rich Daly July 10, 2019
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