Reimbursement

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.

Rich Daly August 11, 2020

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..

Rich Daly August 10, 2020

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.

Rich Daly August 5, 2020

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.

Rich Daly August 5, 2020

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
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