Reimbursement

Analysis: What to expect after the Texas vs. Azar ruling

There’s still much to be argued and dealt with regarding Texas versus Azar, and no final decision on the ACA should be expected until June 2020 at the earliest.

Chad Mulvany, FHFMA November 5, 2019

Healthcare reform moves to the states: Strategies to increase access and control costs

An increasing number of states are looking to improve access and reduce costs by funneling innovations, such as a public option or reinsurance program, through Medicaid.

Pam Nicholson, MBA November 5, 2019

Nov. 4-8: A Medicare advisers meeting is among the week’s national healthcare events

The Medicare Payment Advisory Commission’s two-day public meeting is among major healthcare finance events taking place this week.

Rich Daly November 1, 2019

HFMA: CMS transparency effort misses the mark

Podcast: HFMA President and CEO Joe Fifer discusses HFMA’s perspectives regarding a CMS proposed rule that has generated controversy in that it would require the public release of rates hospitals negotiated with health plans.

HFMA October 31, 2019

3 ways cost models are a key to success under risk

Business Intelligence: New primary care models can help healthcare organizations achieve financial goals.

Theresa Hush October 31, 2019

Legislative fight over surprise billing is nearing an end, congressional aide says

Congressional negotiators are said to be close to a compromise on legislation that aims to end surprise medical bills.

Rich Daly October 31, 2019

Broad trends are driving the imperative for hospitals to revisit cardiac care

A number of factors have contributed to declining revenue growth for hospitals' cardiac catheterization labs in recent years.

Amit Amin, MD, MSc October 31, 2019

Evolution of the consumer focus in healthcare

The potential benefits of consumer-driven health plans were espoused in the 1990s, and the concept began to be more fully embraced in the past decade.

Robert A. Dickinson, MBA October 31, 2019

7 top macro trends impacting providers, insurers and healthcare consumers today

The healthcare industry's shift to a consumerism focus is occurring in parallel with seven significant emerging trends that are affecting providers, insurers and healthcare consumers alike.

Robert A. Dickinson, MBA October 31, 2019

3 components of shared risk executives need to know

Jennifer Carney, vice president, finance and analytics, for Beth Israel Lahey Health Performance Network (BILHPN), describes three basic components of shared-risk contracts.

HFMA October 31, 2019
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