Hospitals, physicians file lawsuit over the arbitration process in the new surprise billing regulations
Leading provider associations have asked a federal court to halt the incorporation of criteria that appear to favor insurers over providers in an arbitration process to determine out-of-network payment amounts.
A bill to mitigate scheduled Medicare payment cuts of $14 billion is ready to go in Congress
The House of Representatives is set to vote on a bill that would nullify a large share of 2022 Medicare payment cuts.
The economics of a telehealth visit: A time-based study at Penn Medicine
Research into the costs of delivering telehealth versus in-person visits by the Department of Orthopaedics at Penn Medicine sought to answer the health systems’ questions about the long-term economic viability of telemedicine services, and to help inform their conversations with payers about how much they should appropriately be paid for the services.
Hospital-at-home care promises to reshape healthcare delivery in the United States
Two leaders of health system hospital-at-home programs describe how the acute hospital care at home model represents an important change in how our nation approaches healthcare delivery, because it has been shown to yield improved care outcomes and greater patient satisfaction.
Medicaid expansion doesn’t appear to bolster finances or operations at critical access hospitals, study finds
Changes in operating margin, staffing ratios and quality metrics didn’t hinge on whether a critical access hospital was in a state that had expanded Medicaid.
Healthcare industry leaders share ideas with CMMI for improving value-based payment models, with benchmarking a top concern
During a recent call with healthcare stakeholders, leaders with the Center for Medicare & Medicaid Innovation heard various ideas for improving value-based payment models.
Healthcare News of Note: Youth mental health-related emergency department visits are on the rise as a result of the pandemic
Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Mental health-related ED visits increase for children and teens, hospital volumes are nearly at 2019 levels, and TransUnion Healthcare sees a 55% increase in financial assistance requests in a 12-month period.
Court injunction stops federal COVID-19 vaccine mandate for healthcare workers from being implemented as scheduled
A federal judge has halted implementation of a new rule that would require all on-site staff in hospitals and most other healthcare settings to be vaccinated against COVID-19.
Exploring opportunities to improve provider-payer data exchange
Revenue cycle leaders share strategies and the benefits for effective data exchange between providers and payers, as well as the challenges in this executive roundtable.
News Briefs: Federal vaccination requirements finalized for hospitals and most other healthcare settings
If a hospital’s staff aren’t fully vaccinated by Jan. 4, the organization will be deemed noncompliant with Medicare and Medicaid regulations, according to a new federal rule.