Payment Reimbursement and Managed Care

What to expect from President Trump’s recent executive orders on drug prices

HFMA's Chad Mulvany says the Most Favored Nation pricing executive order faces long odds of becoming an enforced policy because it faces significant opposition from three of the most influential lobbies in Washington, D.C.

Chad Mulvany, FHFMA August 4, 2020

A scarcity of rural ICU beds means little revenue amid the COVID-19 resurgence

Half of low-income rural areas lack ICU beds, which is depriving hospitals of revenue during ongoing COVID-19 surges.

Rich Daly August 4, 2020

How to manage risk-based payment in the era of the global pandemic

To succeed with risk-based contracts through the COVID-19 pandemic and beyond, healthcare organizations require analytic capabilities for modeling the revenue impact of the crisis through all its phases.

Thomas Persichetti, FCA, ASA, MAAA August 4, 2020

Hospitals decry appeals court decision upholding 340B cuts

An appeals court upheld $1.6 billion in annual Medicare payment cuts to 340B hospitals.

Rich Daly August 3, 2020

Healthcare consumers want information personalized to their situation from health plans

HFMA's Chad Mulvany says patients and consumers need information that’s relevant to their specific clinical situation and out-of-pocket costs for price and quality information to be meaningful.

Chad Mulvany, FHFMA August 3, 2020

Elective surgery volume near normal in late July, analysis finds

Elective surgeries recovered in July following earlier state bans. However, a growing number of states are re-imposing bans amid a COVID-19 resurgence.

Rich Daly July 31, 2020

Create more accurate cost reports faster with Easy Work Papers by BESLER

A healthcare technology company talks about how its Easy Work Papers solution improves cost report accuracy and consistency, helping hospitals receive optimal revenue while maintaining compliance.

HFMA July 31, 2020

7 steps toward compensating primary care physicians for their true value

A value-based payment model for primary care physicians would be consistent with the goal of population health, which is to achieve better health outcomes for a population of patients at the lowest possible costs.

John Rezen, CRCR, MHA, LSSBB July 31, 2020

Rethinking patient payments and providing a consumer-friendly experience

An innovative healthcare technology company talks about how its technology-fueled billing and payment platform enables a compassionate patient financial experience while efficiently driving revenue into a healthcare organization.

HFMA July 31, 2020

How to leverage the telemedicine surge to create a profitable telehealth model

Healthcare finance leaders can help their organizations establish profitable telehealth programs following the COVID-19 pandemic by focusing now on the economic and operational drivers that will determine the success or failure of such programs.

Lucy Zielinski July 31, 2020
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