Payment Reimbursement and Managed Care

Senate panel discusses ways to address Medicare financing — and the consequences of not acting

Medicare Part D and Medicare Advantage could be prime targets as Congress seeks to shore up the Hospital Insurance Trust Fund before it becomes insolvent in 2026 as projected.

Nick Hut February 9, 2022

Optimizing the revenue cycle by streamlining and automating payment collections

Nine healthcare finance professionals dive into strategies to help entities evolve to meet challenges faced by providers and payers in finding qualified employees in today’s workforce.

HFMA February 3, 2022

340B advocacy group releases survey results showing the financial toll of drug manufacturers’ curbs on discounts

Among hospitals participating in the 340B Drug Pricing Program, a new report finds that steps taken by drug manufacturers to restrict discounts have had a significant impact.

Nick Hut February 2, 2022

News Briefs: Supreme Court ruling allows the COVID-19 vaccine mandate for healthcare workers to proceed

A roundup of top news stories for healthcare finance professionals.

Nick Hut February 1, 2022

Latest healthcare spending data paint a complicated picture of industry challenges and opportunities

Healthcare spending patterns during the first year of the COVID-19 pandemic reflect an industry trying to get its bearings amid a public health emergency and daunting long-term trends.

Nick Hut January 31, 2022

Shawn Stack: No Surprises Act is important move toward meaningful consumer transparency

The No Surprises Act, which became effective on Jan. 1 of 2022, will clearly benefit patients, .ut its larger impact is yet to be seen as the industry awaits the release of provisions targeting health plans and payers.

Shawn Stack January 31, 2022

Healthcare News of Note: Many health system boards find they are poorly equipped to institute DEI changes, says survey

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Health system boards are willing to change but slow at implementing DEI measures, international nurses are filling the workforce gap, and youth mental health has suffered during the pandemic.

Deborah Filipek January 28, 2022

Healthcare News of Note: McKinsey analyzes a range of scenarios based on the infectiousness, immune evasion and severity of disease linked to the omicron variant

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: An in-depth analysis looked at what the U.S. can expect with the onslaught of the omicron variant, CMS rescinded a drug pricing model, and total healthcare utilization in 2020 dipped below 2019 levels.

Deborah Filipek January 28, 2022

Survey: Health systems push toward risk-based payment models, payer-provider partnerships

Check out the key takeaways from a survey conducted in Summer 2021 with healthcare executives, which focused on risk-based models, data issues, leaders’ concerns on hitting budgets and more.

Crystal Milazzo January 28, 2022

HHS’s Office of Inspector General announces audit of providers’ COVID-19 billing practices

OIG has announced an audit of Provider Relief Fund recipients to ensure they did not balance-bill presumptive or actual COVID-19 patients.

Nick Hut January 26, 2022
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