Payment Reimbursement and Managed Care

No Surprises Act regulations remain a moving target for compliance

Amid all the rules stemming from the No Surprises Act, a looming mandate for providers to send cost estimates to health plans looks like the biggest stress inducer.

Nick Hut October 18, 2022

HFMA seeks volunteers for national opportunities

Participation in HFMA volunteer leadership roles offers the opportunity to enhance the benefits, products and services provided to HFMA members and healthcare financial professionals across the country.

HFMA October 5, 2022

CVS Health gains capabilities in home healthcare and value-based care with massive deal to buy Signify Health

CVS Health’s announced acquisition of Signify Health is a key step in the company’s efforts to establish a comprehensive healthcare network.

Nick Hut October 4, 2022

Paul Keckley: 2 major changes in the value agenda require finance leaders’ attention

The value agenda in U.S. healthcare is critical to its future, but there are two key areas in which it is likely to be redirected in years to come.

Paul H. Keckley, PhD October 2, 2022

Revecore helps hospitals increase revenue with technology-driven underpayment review and recovery solutions

Read about one company's singular focus with its underpayment review and recovery solutions is to stop the leakage and increase revenue. The company’s solution is built on unique, customized technology to collect dollars that would have otherwise gone unrecovered.

HFMA September 30, 2022

Rethinking population health management: Why successful risk-based contracting requires provider empowerment

Find out how one company hopes to solve challenges of industry shifts from fee-for-service to value-based care by reversing the long-standing narrative that population health management isn’t possible or profitable.

HFMA September 30, 2022

Medicare payments for 340B drugs are set to increase immediately after recent court ruling

The Medicare payment rate for drugs acquired through the 340B program must be increased by nearly 30 percentage points effective immediately, according to a court ruling.

Nick Hut September 30, 2022

News Briefs: Financial and operational challenges still hamper hospitals 2.5 years into the pandemic

As published in hfm magazine, a monthly roundup of top news for healthcare finance professionals.

Nick Hut September 29, 2022

Healthcare News of Note: UnitedHealth Group can proceed with Change Healthcare purchase after a favorable decision in an antitrust case

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: UnitedHealth Group cleared to acquire Change Healthcare, standard patient satisfaction surveys need to address DEI issues, and homebound older adults contribute to higher levels of Medicare spending.

Deborah Filipek September 26, 2022

Surprise-billing arbitration updates include a lawsuit and new context on rate-setting approaches

A provider association that earlier won a lawsuit over the No Surprises Act arbitration process is going to court again over the same issue.

Nick Hut September 23, 2022
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