UnitedHealthcare reverses course on new approach to emergency department claims, but perhaps only temporarily
UHC had announced this week that it would evaluate claims starting July 1 to determine whether ED visits were for emergent or nonemergent events.
Healthcare News of Note: Sg2 report says lower-acuity care to continue its migration outside of hospital walls
Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Hospitals to continue to see loss of lower-acuity care, nursing shortage spurs health systems to offer sign-on bonuses and some newly passed state laws could put public health at risk.
Looming UnitedHealthcare policy on coverage of emergency department care draws opposition from hospitals, physicians
In a move strongly opposed by provider associations, UnitedHealthcare soon will start denying coverage of ED care that it deems to have been nonemergent.
CMS nearly doubles the payment rate for administering the COVID-19 vaccine in a Medicare beneficiary’s home
A payment increase for in-home COVID-19 vaccine administration is part of a strategy to improve vaccination rates, which have slowed in recent weeks.
Why fee-for-service can have a place in a reimagined healthcare system, but not as the primary mode of payment
Fee-for-service came under fire during a workshop in which prominent healthcare industry experts spoke of ways to achieve better integration of financing and care delivery.
Study quantifies the cost to physician practices of participating in the Merit-based Incentive Payment System
MIPS participation led to high administrative costs and a significant time drain, according to new research.
Hypersensitivities only serve to suppress honest equity conversations
The racial equity conversation needs to be had in this country, and even with hypersensitivity around the topic, HFMA’s Community DEI group is now having the conversation.
Why closer collaboration between healthcare providers and health plans is crucial, and where it could pay off the most
New types of provider-payer associations place an emphasis on increasing the value of healthcare rather than merely offering cost savings.
Survey data highlights shortcomings in private insurance coverage compared with Medicare
Indicators of coverage gaps were more likely to be seen among individuals with private insurance.
USA Senior Care Network provides hospitals with incremental patient volume and increased revenue
One company’s senior director explains how hospitals or health systems can grow their market share without risk of bad debt when joining this company’s network.