Recipients of COVID-19 vaccine boosters won’t have to pay anything out of pocket, CMS confirms
Medicare beneficiaries will owe nothing out of pocket for receiving an authorized booster dose, and the same applies to almost all Medicaid beneficiaries and most commercial health plan members.
Healthcare price transparency initiatives may fall flat due to systemic factors, expert says
Niall Brennan, a leading expert on healthcare cost drivers, is among the skeptics who doubt the ongoing price transparency push can result in a more efficient system.
New rule describes the penalty associated with regulations on surprise billing
A new rule from HHS sets forth the maximum penalty for violations of new patient-billing regulations that take effect Jan. 1, 2022.
Payment, Reimbursement and Managed Care
Keep up with the latest payment, reimbursement, and managed care trends and related subtopics of accountable care, payment models, MACRA, Medicaid and Medicare reimbursement, value-based payment, reform, and more.
News
Stay up-to-date with HFMA's regularly published news that covers regulatory and legislative changes and healthcare finance trends.
AMA releases 2022 CPT code set with new options that apply to COVID-19 vaccination, digital care services and more
The new set features more than 400 CPT code changes from 2021.
COVID-19 vaccination of staff now a condition of participation in Medicare and Medicaid, CMS announces
In a major expansion of COVID-19 vaccine requirements, the Biden administration announced Sept. 9 that all staff working at Medicare- and Medicaid-certified facilities must receive the vaccine.
Report by Medicare trustees describes a daunting payment picture for healthcare providers
The Medicare Hospital Insurance Trust Fund is on course to run out of money by 2026, and that assessment wasn’t the only concerning part for hospitals in a new government report.
HHS can continue using Worksheet S-10 to calculate uncompensated care payments after federal court ruling
A federal district court dealt hospitals a defeat in a case about uncompensated care payments, issuing a summary judgment in favor of the U.S. Department of Health and Human Services.
Healthcare News of Note: Providers should continue forward movement on improving digital patient access, survey suggests
Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Expectations for convenient access to care in the pandemic era, a look at ICU bed use across the U.S., and the cost of hospitalizations among unvaccinated adults.