Reimbursement

CMS drops MFAR, launches Medicaid value-based payment push

CMS drops MFAR, launches Medicaid value-based payment push.

Rich Daly September 16, 2020

What can healthcare providers expect now that a COVID-19 relief package failed a procedural vote in the Senate

HFMA's Chad Mulvany says it’s not surprising the GOP's COVID-19 relief measure failed, given the package was negotiated without input from Democrats.

Chad Mulvany, FHFMA September 15, 2020

As states tweak Medicaid programs, enrollment increases fall far short of job losses

Medicaid enrollment increases have lagged far behind unemployment increases but are still pressuring states facing a budget squeeze during the recession.

Rich Daly September 14, 2020

Big Medicare bundled payment changes could cut participation, advisers say

Most BPCI-A participants will see major changes in 2021 ahead of a mandatory model in 2024, CMS says.

Rich Daly September 14, 2020

Business Group on Health’s Annual Survey: Large employers ready to take the reins on healthcare cost

Responses to the Business Group on Health's annual survey of its large employer members suggest employers are tired of waiting for providers and plans to figure out how to reduce healthcare cost.

Chad Mulvany, FHFMA September 11, 2020

Aetna rolls out a no-cost sharing primary care offering for members at CVS Minute Clinics and HealthHUBS

HFMA's Chad Mulvany says it’s not surprising that Aetna would use its Minute Clinics as the basis of a primary care network for lower-cost health plans.

Chad Mulvany, FHFMA September 11, 2020

Despite the pandemic, hospitals continue to shift toward value-based payment

Hospitals plan to continue moving to value-based payment despite obstacles to caring for patients under risk-based contracts amid the COVID-19 pandemic.

Rich Daly September 10, 2020

Why Walmart is partnering with Oak Street on three in-store clinics in the Dallas-Fort Worth area

HFMA's Chad Mulvany says Walmart's partnership with Oak Street is due to Oak Street’s reputation for developing a patient-centric care model.

Chad Mulvany, FHFMA September 10, 2020

HFMA provides insight into 3 key areas of CMS’s 2021 IPPS final rule

HFMA's Chad Mulvany offers insight on key areas of the Inpatient Prospective Payment Service final rule, including market-based MS-DRG weights, Uncompensated Care DSH and Medicare bad debt requirements.

Chad Mulvany, FHFMA September 9, 2020

For Biden’s potential HHS pick, priorities include public option, hospital M&A, cost control

A Biden administration would push a public option, negotiate hospital prices and target hospital M&A, an adviser says.

Rich Daly September 9, 2020
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