Reimbursement

The financial crunch of the pandemic is unlikely to subside anytime soon for hospitals

A leading credit-rating agency says the not-for-profit hospital sector will face significant headwinds for the rest of this year and beyond.

Nick Hut May 31, 2022

25% of Medicare patients suffer clinical harm in the hospital, OIG report indicates

A quarter of Medicare patients experienced harm while being treated in hospitals during a single month in 2018, according to a new report from the HHS Office of Inspector General.

Nick Hut May 30, 2022

News Briefs: Hospital labor costs rose by almost 40% between 2019 and early 2022

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

Nick Hut May 27, 2022

David Johnson: Cracks in the foundation – Overcoming regulatory headwinds

Healthcare leaders have an important opportunity today use the new regulations to drive value-based care throughout their organizations. But that doesn’t mean completely relinquishing their traditional revenue streams. To seize this opportunity, they should undertake a dual transformation that promotes more efficient operation of their traditional businesses, while nurturing and growing new businesses focused on population health and value.

David W. Johnson May 27, 2022

Hospital prices increasingly are coming under a microscope

Newly issued reports and policy recommendations are examining hospital prices in the context of high healthcare costs.

Nick Hut May 20, 2022

Hospitalists are more likely than other physicians to choose high-intensity codes for inpatient care, study finds

The billing and coding practices of hospitalists may contribute to the rising cost of hospital care in the U.S., according to conclusions of a new study.

Nick Hut May 18, 2022

Some Medicare payments to hospitals for bariatric surgery may be inappropriate, OIG finds

Medicare could have saved nearly $48 million in bariatric surgery payments to hospitals during an 18-month period if coverage rules and guidance were better implemented at the contractor level, according to the HHS Office of Inspector General.

Nick Hut May 17, 2022

CMS Principal Deputy Administrator Jonathan Blum discusses price transparency, surprise billing and the future of value-based payment

HFMA President and CEO Joe Fifer interviews Jonathan Blum, principal deputy administrator and COO at CMS. In this interview, Blum discusses how CMS plans to phase out the public health emergency, how price transparency and surprise billing legislation are being received by provider organizations, and the effect the pandemic will have on CMS's value-based care strategy.

HFMA May 17, 2022

In the pandemic’s latest phase, strategic issues for healthcare providers include labor, inflation and value-based payment

The struggles of smaller providers amid the COVID-19 pandemic are likely to give way to increased merger-and-acquisition activity in 2022, according to Wall Street analysts.

Nick Hut May 12, 2022

2023 regulations for Medicare Advantage and ACA marketplaces seek to enhance network adequacy standards

HHS and CMS recently released sets of 2023 regulations that affect provider network adequacy standards in Medicare Advantage and the Affordable Care Act insurance marketplaces.

Nick Hut May 9, 2022
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