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.
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.
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.
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.
Ripple effects of the pandemic on the move toward value
In this HFMA executive roundtable, seven executives for health systems and health plans share how the pandemic has impacted their organization’s move toward value — and what it will take to foster transparency and trust under these models.
The payer episode: CMS interoperability rules and provider strategies for better conversations
Chris Hobson, from Orion Health discusses CMS’s upcoming deadline for interoperability requirements for payers and Geneva Schlabach from Vispa and Mike Duke from Baker Tilly talk about denials management.
Employers again are planning to expand their use of narrow networks, survey finds
Large employers again say they plan a big increase in the use of narrow networks, a scenario made more likely by the pandemic.
Why effective maternity care requires an innovative, value-based strategy
An episode-of-care approach may be the best way to address cost variation in maternal care and promote partnerships across the healthcare continuum.
Providers should prepare for a possible expansion of Medicare site-neutral policies
HFMA’s Chad Mulvany says if the CY2021 OPPS rule is finalized as proposed without significant modifications to CMS's MS-DRG weight-setting process, it heightens the need for hospitals to expand outpatient/ASC capacity and continue aggressive cost management.
Continued growth in employer-paid healthcare premiums may spur employers to find alternative solutions
HFMA's Chad Mulvany says large employers have signaled a possible end to their patience for traditional players to provide a traditional solution, and he reviews what solutions they could pursue instead.