Payment Reimbursement and Managed Care

‘Medicare for All’ leader laments Medicare problems

A leading congressional advocate of “Medicare for All” this week excoriated Medicare for the billing problems she dealt with during her late husband’s last years of declining health. But she insists such headaches would not follow expansion of the program to all Americans.

Rich Daly July 12, 2019

July 14-19: See what events are coming in healthcare

Stay ahead of healthcare news and developments with this listing of hearings, conferences, webinars, public forums and deadlines for the week of July 14.

Rich Daly July 12, 2019

Rural-state hospitals hail changes to Medicare wage index

Rural-state hospitals strongly back a proposed Medicare area wage index (AWI) change, but national hospital advocates are warning against it.

Rich Daly July 10, 2019

Is healthcare’s focus shifting from value to pricing?

Federal policy advisers see a shift from value-based payment to policies focused on cutting provider payments.

Rich Daly July 10, 2019

July 8-12: See what events are coming in healthcare

Stay ahead of healthcare news and developments with this listing of hearings, conferences, webinars, public forums and deadlines for the week of July 8.

Rich Daly July 8, 2019

CMMI chief: Administration’s value push will continue if ACA struck down

The senior government official in charge of creating value-based payment models said the Trump administration’s commitment to such models would continue even if the law authorizing his office is struck down in an ongoing court challenge.

Rich Daly July 8, 2019

8 KPIs for measuring Medicaid eligibility and advocacy

A regular KPI review process will allow revenue cycle leaders to identify problems and develop a plan for remediation.

Marie Hinds July 7, 2019

How hospitals saved $1,000 per case in a mandatory bundle

Several hospital approaches were key to obtaining savings of nearly $1,000 per episode in Medicare’s first mandatory bundled payment model.

Rich Daly July 3, 2019

July 1-5: See what events are coming in healthcare

Stay ahead of healthcare news and developments with this listing of hearings, conferences, webinars, public forums and deadlines for the week of July 1.

Rich Daly July 2, 2019

Pursuing a Proactive Denials Strategy Helps Resolve Denials and Prevent Recurrence

A look at how one company is partnering with healthcare organizations to use data and technology to address the root causes of long-standing problems, including denials.

HFMA July 1, 2019
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