Payment Reimbursement and Managed Care

Hospital margins positive in May due to temporary federal boost, report finds

Federal assistance temporarily boosted hospital margins in May into positive territory.

Rich Daly June 25, 2020

HHS’s Cares Act Provider Relief Act FAQ updates provide additional guidance for healthcare providers

HFMA's Chad Mulvany reviews four updates from the U.S. Department of Health & Human Services, including quarterly reporting requirements, that could be of interest to HFMA members.

Chad Mulvany, FHFMA June 23, 2020

Texas Oncology streamlines operations to achieve success in Medicare value-based payment model

The experience of Texas Oncology in CMS’s Oncology Care Model shows how provider organizations can use change management processes to lay the foundation for success in new care delivery models.

Elizabeth Barker June 22, 2020

Bundled payment participants face choices on 2020 performance measurement, continued participation

CMS further detailed how hospitals should evaluate their 2020 options and whether to continue in the BPCI-A model.

Rich Daly June 22, 2020

CMS aims to spur value-based payment arrangements between drugmakers and insurers, including Medicaid

CMS says rule changes would allow more outcomes-based payment arrangements for Medicaid programs and commercial health plans.

Rich Daly June 19, 2020

Long-term fiscal impact of the of COVID-19 pandemic on the overall federal debt and Medicare Part A Trust Fund shortfall cannot be overlooked

Recommendations from healthcare economists for savings to preserve Part A Trust Fund focus more on taxes and less on providers.

Chad Mulvany, FHFMA June 19, 2020

Special episode: Coronavirus exclusive with CFO Tim Maurice of University of California at Davis Health System

UC Davis Medical Center made headlines recently when providers there treated the first case of community spread coronavirus in the United States. In this episode, CFO Tim Maurice speaks with Joe Fifer about the health system's experience in this unprecedented health crisis. Also in this episode, Rich Daly and Chad Mulvany discuss the latest coronavirus news from Washington, and HFMA's Todd Nelson shares five tips for employees who are working remotely for the first time.

Erika Grotto June 18, 2020

Congress presses for some telehealth expansion policies to remain after COVID-19

Members of Congress increasingly support making permanent temporary policies that eased use of telehealth services.

Rich Daly June 18, 2020

House bill may provide insight into coverage priorities if White House and Senate flip in November’s election

The best-case scenario for Democrats is to come out of election night with a 50-50 split of the Senate, which would allow them to pass a package of tweaks to the ACA, with the Vice-President (assuming Biden wins) casting the deciding vote.

Chad Mulvany, FHFMA June 18, 2020

Medicare reopens application period for Direct Contracting models

CMS opened the application process for Direct Contracting models to more providers.

Rich Daly June 17, 2020
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