Payment Reimbursement and Managed Care

Business Group on Health’s Annual Survey: Large employers ready to take the reins on healthcare cost

Responses to the Business Group on Health's annual survey of its large employer members suggest employers are tired of waiting for providers and plans to figure out how to reduce healthcare cost.

Chad Mulvany, FHFMA September 11, 2020

Aetna rolls out a no-cost sharing primary care offering for members at CVS Minute Clinics and HealthHUBS

HFMA's Chad Mulvany says it’s not surprising that Aetna would use its Minute Clinics as the basis of a primary care network for lower-cost health plans.

Chad Mulvany, FHFMA September 11, 2020

Despite the pandemic, hospitals continue to shift toward value-based payment

Hospitals plan to continue moving to value-based payment despite obstacles to caring for patients under risk-based contracts amid the COVID-19 pandemic.

Rich Daly September 10, 2020

Why Walmart is partnering with Oak Street on three in-store clinics in the Dallas-Fort Worth area

HFMA's Chad Mulvany says Walmart's partnership with Oak Street is due to Oak Street’s reputation for developing a patient-centric care model.

Chad Mulvany, FHFMA September 10, 2020

HFMA provides insight into 3 key areas of CMS’s 2021 IPPS final rule

HFMA's Chad Mulvany offers insight on key areas of the Inpatient Prospective Payment Service final rule, including market-based MS-DRG weights, Uncompensated Care DSH and Medicare bad debt requirements.

Chad Mulvany, FHFMA September 9, 2020

For Biden’s potential HHS pick, priorities include public option, hospital M&A, cost control

A Biden administration would push a public option, negotiate hospital prices and target hospital M&A, an adviser says.

Rich Daly September 9, 2020

CMS finalizes requirement for hospitals to report MA plan rates

Rich Daly September 3, 2020

Pandemic increases pressures for rural hospitals struggling pre-COVID-19

HFMA's Chad Mulvany says weakened rural providers will likely seek to align more closely or be acquired by a larger healthcare system or merge with one another to gain economies of scale.

Chad Mulvany, FHFMA September 2, 2020

What would the Biden-Sanders recommendations mean for hospitals?

Former U.S. Vice president Joe Biden has focused on protecting and building on the Affordable Care Act within his presidential campaign. His policy stances touch on three areas of focus: access, quality and cost.

Ken Perez September 1, 2020

Offering long-term payment plans to meet the financial needs of patients

A forward-thinking bank talks about its accessible patient finance program, which gives patients a way to afford care while ensuring timely payment for healthcare organizations.

HFMA August 31, 2020
googletag.cmd.push( function () { googletag.display( 'hfma-gpt-leaderboard' ); } );