Healthcare Reimbursement News

Healthcare M&A activity for Q3 remains low in volume but high in impact, firms report

The number of M&A transactions involving hospitals and health systems remained at historically low levels, but the average revenue involved was far higher than in recent years.

By Nick Hut October 11, 2021

The finalized arbitration process in new surprise-billing regulations appears to favor insurers over hospitals

A new rule establishes a process for resolving payment disputes between health plans and hospitals when regulations on surprise billing begin in 2022.

By Nick Hut October 8, 2021

Healthcare News of Note: U.S. will be short 3.2 million lower-wage healthcare workers within 5 years, says Mercer

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Shortages of lower-wage healthcare workers, nurses, physicians and mental health staff are expected, PHI security and burnout are of concern to most healthcare professionals, and the pandemic is expected to affect health insurance rates.

By Deborah Filipek October 8, 2021

Consumerism and the transition to value are among the trends drawing strategic reactions from healthcare providers, survey finds

A recent survey finds healthcare providers working to ensure their strategic planning incorporates key trends, spurring innovations in care delivery models.

By Nick Hut October 8, 2021

Updating Payment Parameters, Waiver Implementing Regulations, and Improving Health Insurance Markets Final Rule Summary

HFMA presents a detailed summary of the final rule regarding the Patient Protection and Affordable Care Act; Updating Payment Parameters, Section 1332 Waiver Implementing Regulations, and Improving Health Insurance Markets for 2022 and Beyond.

By HFMA October 7, 2021

The stakes are only growing in efforts to improve the cost effectiveness of health, CMMI’s Elizabeth Fowler says

The head of the Center for Medicare & Medicaid Innovation spoke with an HFMA audience about the importance of efforts at the federal level and beyond to improve the cost effectiveness of health.

By Nick Hut October 6, 2021

Healthcare News of Note: Average billed charge for complex COVID-19 hospitalizations is more than three times the allowed amount

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: $317,810 is the average charge for a complex COVID-19 hospitalization, the pandemic has had a unique impact on people with disabilities, and transitional clinic care brings posthospitalization benefits for medically complex patients.

By Deborah Filipek October 1, 2021

Focus on thought leadership and better practices: A testament to HFMA’s vision and purpose

From its very inception, HFMA has embraced the idea of thought leadership and professional practice. Major milestones have included the Principles and Practices Board, The Patient Friendly Billing Project, The Value Project and the recent focus on consumerism.

By Eric C. Reese, PhD September 30, 2021

Requirements Related to Air Ambulance Services, Agent and Broker Disclosures, and Provider Enforcements Proposed Rule Summary

HFMA presents a detailed summary of the proposed rule amending existing regulations to implement provisions of the No Surprises Act established to protect enrollees of health plans from surprise medical bills when they receive emergency services, non-emergency services from nonparticipating providers at participating facilities, and air ambulance services from nonparticipating providers of air ambulance services under certain circumstances.

By HFMA September 30, 2021

After a long wait, HHS sends out details on the next Provider Relief Fund distributions

The U.S. Department of Health and Human Services announced $25.5 billion in upcoming distributions from the Provider Relief Fund.

By Nick Hut September 28, 2021
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