Payment Reimbursement and Managed Care

How healthcare providers can conduct a consumer-focused pricing strategy

The growth of consumerism in healthcare has made it imperative for healthcare providers to develop a pricing strategy that can help them achieve a competitive advantage among consumers in their markets.

Robert A. Dickinson, MBA December 16, 2019

Bipartisan policy group aims to slash hospital budgets

A group of policy advisers, researchersa nd politicians are urging a range of measures to cut spending on hospitals.

Rich Daly December 13, 2019

Why initiate health plan contract testing?

Various circumstances require providers to prepare for the impact of payment changes.

Lauree E. Handlon, FHFMA, RHIA, CRCR December 13, 2019

How to use contract testing and analysis to prepare for payment change

Whether a contract is new or up for renewal, a thorough understanding of the financial implications of changes to provider-payment terms is vital for continued operations.

Lauree E. Handlon, FHFMA, RHIA, CRCR December 13, 2019

OPPS final rule keeps site-neutral payments and 340B cuts; finalizes transparency requirements separately

The controversial major hospital payment cuts in the Outpatient Prospective Payment System (OPPS) final rule were retained from the proposed rule even though hospitals successfully have challenged them in federal court.

Rich Daly December 12, 2019

Dec. 16-20: CMS comment deadlines are among upcoming healthcare finance developments

A complete listing of healthcare finance-related hearings, conferences, webinars, public forums and deadlines for the week of Dec. 16.

Rich Daly December 12, 2019

Analysis: ChenMed moves into new territory

ChenMed’s entrance into new markets will likely have an impact on ambulatory-sensitive ED visits and admissions for underserved Medicare Advantage patients.

Chad Mulvany, FHFMA December 11, 2019

Analysis: Timeline for CMS’s mandatory radiation oncology model appears to slip

It’s not surprising CMMI has slowed its pace on finalizing the proposed mandatory radiation oncology payment model given the complexity of the model and stakeholder opposition.

Chad Mulvany, FHFMA December 11, 2019

NFP hospital finances improve, Moody’s finds

Moody’s changed its outlook for not-for-profit hospitals from negative to neutral for 2020, citing improved revenue.

Rich Daly December 11, 2019

Analysis: More options for providers looking to directly contract with employers for episodes of care

Platforms like Carrum Health’s are meeting the demands of employers for higher-value care and the providers who want to meet these demands.

Chad Mulvany, FHFMA December 10, 2019
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