Medicare Payment and Reimbursement

Contracting for Primary Care and Value Improves Patient Outcomes and Lowers Costs

Humana offers primary care practices four types of value-based contracts, but also customizes plans that emphasize population health or other initiatives.

Lola Butcher April 6, 2018

LTCH Pay Change to Cover Less than Half of Costs: Analysis

April 2—An ongoing Medicare payment change will cover less than half of the costs of care for long-term care hospital (LTCH) patients who are subject to it, according to a new analysis.

Rich Daly April 2, 2018

Protecting Revenue at Risk

A pocket guide to help hospitals and health systems navigate pay-for-value programs.

Warren E. Beck March 21, 2018

Minimizing Readmission Penalties with Palliative Care

Hospitals that invest in palliative care programs may reduce readmission penalties.

Allison Silvers March 1, 2018

Administration’s Budget Proposals for Fiscal Year 2019

This summary provides highlights of the healthcare proposals included in the Trump Administration's fiscal year (FY) 2019 budget.

HFMA February 22, 2018

Ask the Experts: Medicare Adjustments During Appeals

Can we adjust a denied Medicare charge off of an account when an appeal is still open? 

HFMA February 16, 2018

The Future of Healthcare Organizations Depends on Managing Medicare Costs

A healthcare thought leader explains the current Medicare payment system challenges and how CFOs can offset future Medicare cuts through cost containment.

HFMA February 15, 2018

Hospital Cuts in Trump Budget Called ‘Troubling’

Feb. 13—Adverse impacts from federal spending cuts were just one type of concern that hospital advocates raised this week about the Trump administration’s proposed budget.

Rich Daly February 13, 2018

Rising At-Risk Populations

Almost 84 million people out of a total population of 400 million, will be covered by Medicaid or Medicare by 2050.

HFMA February 8, 2018

Medicare Extenders and DSH Delay Face Uncertain Future

Feb. 6—Hospitals have faced a range of payment cuts since a regularly renewed package of Medicare funding lapsed at the end of 2017. But those cuts soon could be reversed.

Rich Daly February 7, 2018
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