Proposed CY 2021 Medicare Physician Fee Schedule changes: Analysis of impact on telehealth flexibilities and E/M coding
HFMA's Katie Gilfillan says the E/M coding changes taking place January 1, 2021, will have significant impacts not only to primary care physicians but also will have significant impact on specialist’s reimbursement.
Employers pivot from value-based payment to virtual care amid the pandemic
Employer-sponsored health plans are pausing value-pay expansions in favor of adding virtual care options in response to the COVID-19 pandemic, according to a business group survey..
CARES Act Provider Relief Fund FAQs undergo another update as of August 14
HFMA's Chad Mulvany recommends healthcare leaders who think their organizations qualify for Phase 2 General Distributions review the FAQs.
Critical access hospitals will avoid Medicare cuts stemming from Paycheck Protection Program loans, Verma says
CMS does not intend for PPP loans to factor into Medicare payments to rural providers, the agency’s administrator recently clarified.
Rural payment pilots could pave the way to revamped hospital business models
A new rural payment model will test capitated and ACO payments and could encourage major changes in hospital business models.
Fewer cancer diagnoses in first weeks of the pandemic imply increased spending on cancer treatment in the future
HFMA's Chad Mulvany says good actuarial support is more important than ever for providers considering entering into risk-based models in response to the pandemic.
HHS reopens applications for COVID-19 provider assistance
Providers that rejected the first round of federal coronavirus grants will have another chance in August to seek some of those funds, as will other categories of providers.
More hospital consolidation is expected post-pandemic
Supporters and opponents of hospital mergers and acquisitions expect such deals to increase in the aftermath of COVID-19..
OPPS proposed rule would eliminate ‘inpatient only’ list of procedures
The CY21 OPPS proposed rule would eliminate the inpatient-only list of services over three years while increasing the number of ASC-eligible procedures, and also would increase 340B payment cuts and overhaul the hospital star-rating system.
Trump orders new rural payment model, permanent expansion of telehealth
President Trump ordered HHS to develop a new payment model for rural healthcare providers and to use its regulatory authority to make telehealth expansion permanent.