Payment Reimbursement and Managed Care

HFMA Survey: Chargemaster Costing Capabilities

HFMA is gathering information to understand hospitals' costing capabilities at the inpatient discharge and outpatient visit/service level.

HFMA July 25, 2019

2 states take the lead in implementing innovative healthcare reforms

Washington and Colorado are seeking to funnel noteworthy innovations in healthcare reform, including a public option, through their Medicaid infrastructures.

Pam Nicholson, MBA July 25, 2019

Verma points to hospitals as the largest driver of healthcare costs

The Trump administration’s Medicare leader singled out hospitals as the leading driver of healthcare cost increases.

Rich Daly July 25, 2019

‘Medicare for All’ to cost hospitals $200 billion annually, analysis finds

Although a slice of hospitals might financially benefit from a single-payer model based on Medicare rates, 90% would face cuts totaling $200 billion each year, according to a new industry analysis.

Rich Daly July 24, 2019

Introducing the ‘Cup of Joe’ podcast

From the team that brings you Voices in Healthcare Finance comes Cup of Joe, a new podcast featuring conversations between HFMA's President and CEO, Joe Fifer, and key industry thought leaders. In today’s preview episode, Joe talks with Gail Wilensky, an economist and senior fellow at Project HOPE who served as a senior adviser to President George H.W. Bush.

Erika Grotto July 19, 2019

Analysis: New mandatory radiation therapy payment model

Details about the new five-year mandatory radiation therapy model released by CMS the week of July 8 are reviewed.

Chad Mulvany, FHFMA July 18, 2019

Analysis: Administration’s plans on drug pricing faced recent multiple setbacks

In the face of recent, multiple setbacks on the Trump administration’s proposals for drug pricing, the administration could move aggressively forward on its anticipated International Pricing Index Model for Part B drugs proposal.

HFMA July 16, 2019

Analysis: Survey results show health systems prepared to take risk

Results of a recent HFMA/Navigant survey show providers are prepared to increase their level of payment risk. HFMA’s Chad Mulvany provides insight on what these results indicate.

Chad Mulvany, FHFMA July 15, 2019

Mandatory models among 6 newly proposed Medicare demos

Mandatory models for kidney care and oncology were among six new Medicare payment models proposed in mid-July.

Rich Daly July 15, 2019

How hospitals can create cost advantage where product differentiation is not present

Cost advantage can be achieved in two ways: Identifying whether efficient levels of cost exist and benchmarking.

William O. Cleverley, PhD July 14, 2019
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