Reimbursement

COVID-19 interim final rule focus: Increased Medicare payment for qualifying COVID-19 treatment

HFMA's Chad Mulvany says HFMA believes CMS should modify the NCTAP payment as HFMA is concerned that payment methodology will not cover the cost of qualifying new COVID-19 treatments provided to Medicare beneficiaries.

Chad Mulvany, FHFMA November 6, 2020

Physicians score well in Quality Payment Program but receive little for it

HFMA's Chad Mulvany says the Merit-based Incentive Payment System (MIPS) program needs to be simplified to allow all providers to participate without it being overly burdensome.

Chad Mulvany, FHFMA November 5, 2020

For hospitals, Biden’s healthcare policies include many unknowns

Presidential front-runner Joe Biden has far-reaching healthcare policy proposals, but many details and outcomes remain unknown.

Rich Daly November 3, 2020

CMS finalizes requirement for hospitals to report MA plan rates

In the FY21 IPPS final rule, CMS expanded controversial negotiated-price reporting requirements.

Rich Daly November 2, 2020

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
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