Payment Reimbursement and Managed Care

News Briefs: Report finds unwillingness to get the COVID-19 vaccine drove healthcare job cuts in January

A roundup of top news for healthcare finance professionals.

Nick Hut March 1, 2022

Medicaid eligibility: Strategies to provide care access and maximize reimbursement

Is your hospital or healthcare system constantly seeking ways to help patients access care through Medicaid while maximizing their own reimbursement? Look no more as this sponsored survey unveils effective solutions for these challenges.

HFMA February 28, 2022

Thought Leadership Retreat summary reports

Read reports from HFMA's Annual Thought Leadership Retreat.

HFMA February 26, 2022

8 ways healthcare providers can smooth the DRG audit process

A health system’s financial sustainability depends on its being paid appropriately for the services it delivers. Yet routine payer audits can all too often result in downgrades of a health system’s billed diagnosis-related groups (DRGs), resulting in lower payment. It therefore behooves health systems to be well prepared for such audits and thoroughly understand why payers’ are most inclined to take such action.

Lauren Coleman February 25, 2022

Federal judge rules for providers in a case about a key component of the new surprise billing regulations

A federal judge found in favor of the Texas Medical Association in a case about the arbitration process that is being implemented as part of the No Surprises Act.

Nick Hut February 25, 2022

For some 340B hospitals, the COVID-19 pandemic has brought an unanticipated and unwelcome loss of eligibility

Bringing longer stays and higher rates of deferred care, the COVID-19 pandemic is adversely affecting 340B eligibility for some hospitals.

Nick Hut February 21, 2022

Medicare’s much-hyped Direct Contracting model faces an uncertain future

Medicare’s Direct Contracting model, touted as representing the evolution of alternative payment models, could be shelved less than a year after getting started.

Nick Hut February 16, 2022

Small study finds health systems lagging in providing value-based payment incentives to physicians

Despite the increasing proliferation of alternative payment models, a new study finds that health systems generally don’t give physicians financial incentives to improve the value of care delivery.

Nick Hut February 14, 2022

Large analysis of hospital websites finds little compliance with price transparency regulations

Fewer than 15% of hospitals are fully compliant with federal price transparency regulations, according to an analysis.

Nick Hut February 14, 2022

Healthcare News of Note: Amazon Care’s virtual health services are now available nationwide, and in-person care services are launching in more than 20 new cities in 2022

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Amazon Care plans to expand in-person care to 20+ new cities in 2022, GAO raises concerns about HHS’s leadership and coordination of public health emergencies, and a new study shows more physicians suffered burnout in 2021 than in 2020.

Deborah Filipek February 11, 2022
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