Healthcare News of Note: Payers push back on CMS prior-authorization rule
Healthcare News of Note for healthcare finance professionals is a roundup of articles from the past week, including why payers are pushing back on the prior-authorization rule and information on HHS funding to support the nation's response to the COVID-19 pandemic.
Hospitals seek reversals of Trump policies, among various requests of Biden
Hospitals are urging a range of policy changes, including halting the new price transparency rules, by the incoming Biden administration.
Election Special: As the votes are tallied, we look at what the possible outcomes mean for healthcare
As the world waits for the results of the presidential election and other key races, Rich Daly and Chad Mulvany discuss what could happen in the coming months. Also in this episode, Joe Fifer interviews 4sight Health CEO Dave Johnson about what's next for hospitals after COVID-19. This episode is sponsored by TRIMEDX.
Congress passes funding compromise with only $3 billion in provider aid
A final federal spending and coronavirus relief package includes big wins and losses for hospital finances.
340B Program success depends on the quality of self-auditing
Healthcare organizations participating in the 340B Drug Pricing Program should self-audit of their compliance with the program to ensure its ongoing success and effectiveness.
The healthcare value imperative: All eyes on North Carolina’s move to value-based payment
Hospitals and health systems nationwide can benefit from the insights of North Carolina health system executive whose organizations are leading the way in the state’s transition to value-based payment.
Medicare Advantage concepts come to Medicare fee-for-service with Geographic Direct Contracting Model
While the MA Stars Rating program is a bonus program where plans can earn additional revenue for achieving high scores, quality in the Geographic Direct Contracting program is treated more like a penalty, says HFMA's Chad Mulvany.
Financial Sustainability Report: November 2020
The November 2020 Financial Sustainability Report, sponsored by Kaufman Hall, explores the long-term implications for hospitals and health systems of the deferral of elective procedures at the start of the COVID-19 pandemic, and it provides insights into healthcare organizations’ need for consumer-focused strategies. Other topics include 340B compliance and revenue cycle redesign after COVID-19.
Amid some resistance by healthcare workers, COVID-19 vaccine delivery continues to roll out
Amid the early rollout of COVID-19 vaccines, provider organizations are urging reluctant clinicians and other employees to take the inoculation.
Hospitals begin to receive first doses of COVID-19 vaccines
Hospitals and other providers that were prioritized in state COVID-19 vaccine distribution plans have begun to receive and administer their first doses.