Reimbursement

IPPS FY23 proposed rule: Medicare proposes changes to methodology for determining graduate medical education payments to teaching hospitals

The biggest change is an effort to comply with a court ruling on weighted FTE slots, while another change affects sharable slots for certain rural hospitals.

Nick Hut April 23, 2022

Medicare’s proposed increase for inpatient payments in FY23 doesn’t meet hospitals’ expectations

The hospital industry expressed disappointment with the proposed increase for inpatient payments in FY23.

Nick Hut April 19, 2022

HHS policy update: Recent developments include an extension of the public health emergency and notable progress in reducing the Medicare appeals backlog

HHS Secretary Xavier Becerra signed a 90-day extension of the COVID-19 public health emergency, ensuring the PHE will last until at least mid-July.

Nick Hut April 18, 2022

CMS leaders explain final plans to restrict Medicare coverage of new Alzheimer’s drug

CMS mostly finalized previously proposed criteria for coverage of Aduhelm, which has been promoted as the first drug to treat the underlying pathology of Alzheimer’s disease.

Nick Hut April 16, 2022

Why people and process are the keys to revenue cycle innovation

Michael Duke, an author and partner within the commercial healthcare segment at Guidehouse, discusses how people and process should take precedence over technology in revenue cycle. He also talks about how sponsor organization Red Dot can assist teams that are struggling with motor vehicle accident accounts.

Erika Grotto April 15, 2022

Your patients’ missed screening means advanced cancer: Here’s how to get patients back and how to treat them in the comfort of their own homes

Dr. Andrew Hertler, chief medical officer at New Century Health, discusses what healthcare organizations can do to catch up on patients' missed cancer screenings. He also shares new developments in oncology that could see patients receiving treatment at home or doing virtual follow-up care.

Erika Grotto April 15, 2022

More than 2 years into the pandemic, the issue of deferred care continues to affect the healthcare industry

Concerns about the implications of deferred care continue to grow as healthcare organizations establish their strategies for a post-pandemic landscape.

Nick Hut April 14, 2022

CMS issues FY23 proposed payment rules for hospices, inpatient psychiatric facilities and inpatient rehabilitation facilities

CMS has released proposed FY23 rules governing prospective payments to hospices, inpatient psychiatric facilities and inpatient rehabilitation facilities.

Nick Hut April 8, 2022

Claims submitted to HRSA’s COVID-19 funds for uninsured and underinsured patients soon won’t be paid

Funds used to reimburse providers for supplying COVID-19-related services to the uninsured and underinsured will expire soon if Congress doesn’t act.

Nick Hut March 31, 2022

Marcus Whitney: 3 healthcare innovation trends that leaders should keep an eye on

The workforce shortage, the behavioral health movement and value-based care are areas with the most momentum among early-stage investors.

Marcus Whitney March 30, 2022
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