Payment Reimbursement and Managed Care

More policymaking likely as the 2020 presidential election approaches

HFMA's Chad Mulvany says given the Trump administration’s focus on transparency, it’s possible the Transparency in Coverage final rule could be released prior to the election.

Chad Mulvany, FHFMA September 22, 2020

Mandatory Medicare ESRD model to launch in January 2021

A mandatory model for 30% of the clinicians and facilities treating kidney failure will launch Jan. 1.

Rich Daly September 21, 2020

Deductibles rising, underinsurance rates worsening in individual coverage, survey finds

Deductibles and underinsurance are increasing among those with individual-market coverage.

Rich Daly September 19, 2020

ED, inpatient volumes have stagnated since June, analysis finds

Hospitals’ ED and inpatient volumes have not improved since the June surge in patients following the resumption of most hospital services after COVID-19 service suspensions were lifted.

Rich Daly September 18, 2020

CMMI announcement foreshadows more mandatory bundled payment models

HFMA's Chad Mulvany says based on recently announced changes to BPCI-A episodes, a mandatory model may be defined much broader than currently.

Chad Mulvany, FHFMA September 17, 2020

Amid the pandemic, cost control becomes hospitals’ top benefits-related focus, survey finds

Health systems have prioritized cost control in their personnel offices in response to the pandemic’s revenue impacts, a new survey found.

Rich Daly September 17, 2020

CMS drops MFAR, launches Medicaid value-based payment push

CMS drops MFAR, launches Medicaid value-based payment push.

Rich Daly September 16, 2020

What can healthcare providers expect now that a COVID-19 relief package failed a procedural vote in the Senate

HFMA's Chad Mulvany says it’s not surprising the GOP's COVID-19 relief measure failed, given the package was negotiated without input from Democrats.

Chad Mulvany, FHFMA September 15, 2020

As states tweak Medicaid programs, enrollment increases fall far short of job losses

Medicaid enrollment increases have lagged far behind unemployment increases but are still pressuring states facing a budget squeeze during the recession.

Rich Daly September 14, 2020

Big Medicare bundled payment changes could cut participation, advisers say

Most BPCI-A participants will see major changes in 2021 ahead of a mandatory model in 2024, CMS says.

Rich Daly September 14, 2020
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