Payment Reimbursement and Managed Care

For the No Surprises Act arbitration process, 2023 brings a steep fee hike and continuing litigation

The No Surprises Act’s independent dispute resolution (IDR) process is about to become more expensive for healthcare stakeholders. In 2023, the nonrefundable administrative fee due from each party involved in any payment dispute that goes to arbitration will increase from $50 to $350, according to a Dec. 23 memo from CMS’s Center for Consumer Information and Insurance…

Nick Hut December 30, 2022

Beyond the News: Nick and Shawn discuss No Surprises, disruptors and everything else that made healthcare industry headlines in 2022

HFMA Senior Editor Nick Hut and HFMA Policy Director Shawn Stack discuss the top stories of 2022 in this special year-end episode.

Erika Grotto December 27, 2022

Healthcare News of Note: More than 3,500 deaths in the US attributed to long COVID during a 30-month period

For a 30-month period beginning in January 2020, long COVID played a part in the deaths of 3,544 people, according to a report by the CDC’s National Center for Health Statistics. The Department of Justice has support from hospital advocates as it looks to appeal a court ruling that allowed UnitedHealth Group to acquire Change…

Deborah Filipek December 23, 2022

How healthcare organizations are navigating the era of price transparency

In this roundtable, healthcare leaders from across the nation discuss how their health systems are navigating regulations around price transparency, common challenges and the effect on their organizations.

HFMA December 22, 2022

FY 2023 Hospice Wage Index and Payment Rate Update Final Rule Summary

HFMA provides a detailed summary of the final rule updating the Medicare hospice payment rates for fiscal year 2023.

HFMA December 21, 2022

Massive federal spending bill alleviates reimbursement concerns for hospitals, but less so for physicians

Healthcare provider advocates applauded the inclusion of key reimbursement relief measures and other policies in a proposed federal spending bill for FY23, although physician groups expressed concern about the outlook for their constituents. With a divided Congress looking to muster the votes to pass the legislation before a self-imposed deadline of week’s end, the bill includes many…

Nick Hut December 20, 2022

A “spicy” lame duck session for the 117th Congress and other things to expect after midterm elections

Friend of the podcast Chad Mulvany of the California Hospital Association joins HFMA Policy Director Andrew Donohue and Senior Editor Nick Hut in a discussion about what midterm elections could mean for healthcare.

Erika Grotto December 19, 2022

A quick holiday week news update with Nick and Shawn

HFMA Senior Editor Nick Hut and HFMA Policy Director Shawn Stack dive into the latest healthcare finance headlines in this shortened episode for Thanksgiving Week.

Erika Grotto December 19, 2022

Prior Authorization and Interoperability for Medicare Advantage, Medicaid, CHIP, and QHPs Proposed Rule Summary

HFMA presents a detailed summary of the proposed rule designed to improve the electronic exchange of health care data and streamline prior authorization processes, while continuing to encourage interoperability in the healthcare market.

HFMA December 16, 2022

FY 2023 Inpatient Psychiatric Facilities Prospective Payment System Final Rule Summary

HFMA presents a detailed summary of the fiscal year (FY ) 2023 Inpatient Psychiatric Facilities (IPF) Prospective Payment System final rule describing updates to IPF rates and payment adjustments and the IPF Quality Reporting Program for FY 2023.

HFMA December 16, 2022
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