Payment Reimbursement and Managed Care

Supporters of releasing privately negotiated health plan rates dominate public comments

Supporters of a proposal for hospitals to release their health plan-negotiated rates, so far, have dominated comments on it to CMS.

Rich Daly August 31, 2019

MedPAC meeting among next week’s key healthcare events

Healthcare finance policy events for the week of Sept. 2.

Rich Daly August 29, 2019

Search for federal funding driving surprise bill legislation: advisers

A search for new federal funding is driving fast-moving surprise billing legislation and will ultimately determine if it is enacted, according to legislative advisers.

Rich Daly August 29, 2019

Analysis: How a union’s plan could foreshadow changes in maternity care nationwide

HFMA’s Chad Mulvany reviews why he expects more employers to follow the lead of Local 32BJ’s and state Medicaid programs and implement both episodic payment models for pregnancy and non-payment for elective, pre-term C-sections.

Chad Mulvany, FHFMA August 28, 2019

Analysis: New public charge rule will drive up healthcare costs

A review of the public charge rule, scheduled to take effect Oct. 15, and how it will impact payments to health system utilization and bottom lines.

Chad Mulvany, FHFMA August 28, 2019

Analysis: Proposed negotiated-rate posting requirements from the OPPS rule

HFMA's Chad Mulvany offers insight into the major issues associated with CMS’s proposed new requirement for hospitals to post negotiated rates.

Chad Mulvany, FHFMA August 28, 2019

Analysis: Details about CVS/Aetna’s 2 new pilot programs

HFMA’s Chad Mulvany reviews the details of CVS/Aetna’s two new pilot programs focused on improving outcomes for its members.

Chad Mulvany, FHFMA August 28, 2019

Analysis: UAW provides direct primary care to manage healthcare costs

A review of the benefits for both healthcare providers and unions when they partner to offer union members direct primary care.

Chad Mulvany, FHFMA August 28, 2019

Analysis: House votes to repeal ACA’s Caddie tax

A review of the potential healthcare industry impacts from a repeal of the Affordable Care Act's Cadillac tax.

Chad Mulvany, FHFMA August 28, 2019

A look at the financial ramifications hospitals may see from ‘public charge’ changes

Hospitals could lose billions of dollars nationally in Medicaid and CHIP revenue due to a new change in rules for legal immigrants.

Rich Daly August 27, 2019
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