Payment Reimbursement and Managed Care

Hospitals baffled over why Medicare continues site-neutral payments, 340B cuts despite adverse court rulings

Hospital advocates blasted two major payment cuts that were implemented recently despite court orders overriding the cuts and warned about the consequences.

Rich Daly November 7, 2019

Analysis: Private equity interest in orthopedics increases

Demographics and payment policy are the main drivers of the surge in private equity deals involving orthopedics practices in 2019.

Chad Mulvany, FHFMA November 7, 2019

How hospital quality executives are pitching value-based payment to CFOs

Healthcare quality-improvement executives see ways in which an emphasis on value can improve some hospitals’ finances.

Rich Daly November 7, 2019

Analysis: ‘Medicare for All’ supporters more concerned about cost

New survey results: Those that favor Medicare for All are more dissatisfied with the cost of healthcare and concerned about paying for care if they became ill.

Chad Mulvany, FHFMA November 7, 2019

How to make annual price reviews as easy as paying your bills

Sponsored content: Healthcare organizations seeking to stay on top of new price transparency regulations should use a strategic pricing model to ensure their prices are in line with those of their market.

HFMA November 5, 2019

Who’s afraid of the federal debt?

A review of the possible implications for alternative payment models and provider payment rates in the wake of the national debt cresting at $1 trillion with a possible recession looming.

Chad Mulvany, FHFMA November 5, 2019

Social determinants of health: Pushing the boundaries of healthcare

Addressing the social determinants of health is vital to improving health outcomes, but meaningful improvement requires new levels of collaboration.

Joseph J. Fifer, FHFMA, CPA November 5, 2019

Analysis: Investment income may not be enough for not-for-profit hospitals as federal reductions in payments continue

A review of why not-for-profit hospitals’ reliance on investment income may not be enough in the face of continued reductions in federal payments to hospitals over the next 10 years.

Chad Mulvany, FHFMA November 5, 2019

Analysis: Walmart’s Centers of Excellence program goes local

Walmart’s use of Embold Health to provide its employees with access to high-quality, cost-efficient providers has the potential for broader impact.

Chad Mulvany, FHFMA November 5, 2019

Analysis: Amazon acquires care navigator to integrate into virtual care solution

A review of how Amazon will monetize what it learns from managing populations now that they have own their own virtual care navigator.

Chad Mulvany, FHFMA November 5, 2019
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