Payment Reimbursement and Managed Care

What healthcare stakeholders should know about the new COVID-19 relief legislation

New COVID-19 relief legislation includes funding for rural hospitals, provisions to increase the affordability of health insurance and more items of note for healthcare providers.

Nick Hut March 19, 2021

Disproportionate Share Hospital funding to states doesn’t match up with key benchmarks, report finds

Disproportionate Share Hospital payments don’t always align with key metrics such as uninsured rates and uncompensated care costs, a new policy report finds.

Nick Hut March 17, 2021

Providers that administer the COVID-19 vaccine are getting a payment bump from CMS

Providers will receive an increase in the Medicare payment rate for administering the COVID-19 vaccine starting March 15, CMS announced.

Nick Hut March 15, 2021

For rural hospitals, affiliations with large health systems can be a mixed bag

Significant declines in inpatient admissions among rural hospitals that eventually close may be a consequence of affiliations with health systems.

Nick Hut March 12, 2021

Healthcare News of Note: Biden administration appears to be well-aligned with all sectors of the industry

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles, including the industry’s alignment with President Biden, why many HHS regulations could be in peril and the effect of vaccines on chronic COVID-19 symptoms.

Deborah Filipek March 12, 2021

How a health system prepared to comply with CMS’s new price transparency rule

The efforts of one health system to meet state and federal price transparency regulations shows the benefit of integrating transparency efforts into a broader organizational strategy.

Elizabeth Barker March 12, 2021

Hospitals can use new CMS Condition of Participation regarding ADTs to enhance strategic alignment with independent physicians and post-acute providers

New requirements regarding notifications of admissions, discharges and transfers present both a challenge and a strategic opportunities for hospitals.

Lisa A. Eramo, MA March 10, 2021

With insolvency looming for the Medicare Hospital Insurance Trust Fund, provider payments could be impacted

The Medicare Hospital Insurance Trust Fund, used to pay for Part A hospital care, is on track to become insolvent as soon as 2024. Insolvency could lead to delays in payments to providers and adversely affect patient access.

Nick Hut March 8, 2021

GAO report examines how pass-through status affects Medicare payments for drugs used in outpatient care

A Government Accountability Office report finds that Medicare pays more to cover drugs used in hospital outpatient settings when pass-through payment status is in effect.

Nick Hut March 6, 2021

Healthcare News of Note: Trump administration diverted nearly $10 billion in funds slated for hospitals to Operation Warp Speed

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles, including the discovery that provider funds were used for Warp Speed operations, the need to retain the Medicare telehealth expansion and healthcare antitrust issues to watch.

HFMA March 4, 2021
googletag.cmd.push( function () { googletag.display( 'hfma-gpt-leaderboard' ); } );