Payment Reimbursement and Managed Care

Primary care providers are partnering with employers to form an optimal primary care delivery system

HFMA's Katie Gilfillan says the time may be right for a re-orientation of the healthcare system, where hospitals, physician groups and purchasers of care along with payment models are aligned to support a more patient-centric system.

Katie Gilfillan July 30, 2020

A surprising analysis around hospital reimbursement during the COVID-19 pandemic. Plus: What is Joe Biden’s healthcare plan?

Iodine Software's Troy Wasilefsky discusses a recent analysis his company performed around hospital reimbursement. Some of the results may surprise you. Also in this episode, Rich Daly and Chad Mulvany discuss Joe Biden's healthcare plan.

Erika Grotto July 30, 2020

Congress may not provide a surprise bill fix prior to the election, but patients may find HFMA’s consumer guide useful

Given Congress is unlikely to provide a surprise bill fix prior to the election, Chad Mulvany suggests hospitals provide patients with HFMA's consumer guide on avoiding surprise bills to learn what questions to ask prior to any scheduled services.

Chad Mulvany, FHFMA July 29, 2020

Senate’s COVID-19 bill disappoints hospitals

Hospitals were frustrated proposed hospital funding levels and tweaks to Medicare advance payments as proposed in Senate Republicans’ new COVID-19-relief bills.

Rich Daly July 29, 2020

Hospital groups urge court rejection of ‘unlawful’ charge transparency rule

Hospital advocates highlighted a range of statutory and cost concerns in amicus briefs to an appeals court considering a CMS price transparency requirement.

Rich Daly July 28, 2020

Trump administration extends public health emergency to October

The federal public health emergency stemming from the COVID-19 pandemic was extended by 90 days to late October.

Rich Daly July 27, 2020

Hospitals with health plans have gotten a financial boost during the pandemic

Hospitals with provider-sponsored health plans have obtained a financial cushion to offset the steep losses from the coronavirus pandemic on the provider side.

Rich Daly July 24, 2020

As the COVID-19 situation improves in Maryland, hospitals not immune to losses

Maryland hospitals suffered COVID-19 volume losses, but they say the state’s unique all-payer rate-setting system mitigated the situation to a degree.

Rich Daly July 23, 2020

After big payouts, Medicare may throttle back bundled payment program

Most BPCI-A participants could see bonuses dry up if proposed changes in the program are implemented.

Rich Daly July 22, 2020

Hospitals in COVID-19 hotspots to receive $10 billion more in federal aid \ HFMA

Hospitals in areas heavily affected by COVID-19 will receive $10 billion more in assistance starting this week.

Rich Daly July 20, 2020
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