Medicare Payment and Reimbursement

FY2019 Skilled Nursing Facility Proposed Rule Summary

This document summarizes the FY2019 proposed rule updating the skilled nursing facility (SNF) payment rates.

HFMA May 15, 2018

May 14-18: Senate Holds 340B Hearing Amid Surge in Activity

May 10—Congress will once again examine the 340B discount drug program next week amid several judicial and regulatory developments related to the program.

Rich Daly May 10, 2018

Ask the Experts: Calculating Contract DRGs

What is a simple way to accurately determine my current base DRG rate?

HFMA May 9, 2018

FY2019 Medicare Inpatient Rehabilitation Facility Prospective Payment System Proposed Rule

This summary highlights key provisions of the FY2019 Medicare inpatient rehabilitation facility prospective payment system proposed rule, published by CMS.

HFMA May 8, 2018

FY2019 IPPS/LTCH Proposed Rule

This summary highlights key provisions of the FY2019 IPPS/LTCH proposed rule, published by CMS.

HFMA May 7, 2018

Azar Plans ‘Fundamental Rethinking’ of Provider Pay

May 2—A newly proposed direct primary care payment model is part of a “fundamental rethinking of provider compensation” by the federal government, said Health and Human Services (HHS) Secretary Alex Azar II.

Rich Daly May 3, 2018

Medicare Offers Post-Acute Care Pay Boost

April 30—Faced with operating headwinds, post-acute care providers stand to garner an unexpected FY19 payment boost from Medicare.

Rich Daly April 30, 2018

MA Ruling May Signal Industry Readiness to Integrate SDH into Traditional Medical Care

In addressing social determinants of health and social services, a recent Medicare Advantage ruling by CMS may have taken the first steps toward providing more integrated and comprehensive care to the nation’s aging population.

Gail R Wilensky, PhD April 25, 2018

MedPAC Recommends $250 Million ED Cut

April 9—Medicare should cut payment rates for many emergency departments (EDs) by 30 percent, Congress’s leading Medicare advisory panel recommended this week.

Rich Daly April 9, 2018

Ask the Experts: Medicare Small Balance Payments

Is there any concern if copayment under a certain amount are written off?

HFMA April 6, 2018
googletag.cmd.push( function () { googletag.display( 'hfma-gpt-leaderboard' ); } );