Payment Reimbursement and Managed Care

Hospital finance leaders expect deteriorating payer mix, HFMA survey finds

Most hospitals expect their payer mix to shift in the next 12 months toward more Medicaid and individually insured patients.

Rich Daly November 2, 2020

Hospitals’ challenge to new transparency rule draws skepticism from appeals court

A federal appeals panel appeared hostile to many hospital arguments in a case challenging a looming price transparency requirement.

Rich Daly November 2, 2020

Requirements for drug price information added to final rule on health plan price transparency

Health plans are required by a new final rule to publicly release negotiated rates with all providers and give enrollees out-of-pocket cost information for each.

Rich Daly November 2, 2020

A murky step in the right direction: HHS releases updated CARES Act Provider Relief Fund guidance

HHS, in a recent update, partially reverts back to the June 19 FAQs, which based the amount of PRF a provider is entitled to on lost revenue as opposed to its switch to lost margin in the Sept. 19 guidance.

Chad Mulvany, FHFMA November 1, 2020

News briefs October 2020: Trends in hospital volumes and margins, and other forces shaping healthcare finance

Read about the key factors that have shaped healthcare finance policy and practice.

Rich Daly October 29, 2020

News briefs November 2020: Trends in hospital volumes and margins, and other forces shaping healthcare finance

Read about the key factors that have shaped healthcare finance policy and practice.

Rich Daly October 29, 2020

6 common ground healthcare issues that may help in overcoming discord

In the nation's current political climate and the prevailing partisan divide, healthcare is home to six issues where there is political common ground that could lead to bipartisan solutions.

Ken Perez October 29, 2020

Deconstructing the CMS price transparency rule

By Jan. 1, 2021, hospitals and health systems must create and make public a list of standard charges for the top items and services they provide, per CMS. An executive discusses the challenges and opportunities this presents in this overview.

HFMA October 29, 2020

Home health provider looks to scale hospital-at-home model

HFMA's Chad Mulvany says this capability positions Dispatch Health as an ideal partner to Medicare Advantage plans or PCPs in risk-sharing models with MA plans, to reduce the total cost of care while maintaining high-quality outcomes.

Chad Mulvany, FHFMA October 28, 2020

Donations by hospitals and their employees heavily favor Biden, Democrats

Hospitals have leaned toward Biden and Democrats in their 2020 campaign giving, according to election records.

Rich Daly October 28, 2020
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