Reimbursement

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

Hospitals worry latest Medicare transparency effort will increase costs

Hospitals have told CMS a proposed expansion of coming transparency requirements would increase their costs and costs of care overall.

Rich Daly July 17, 2020

Walgreens to provide primary care via VillageMD clinics in 500 to 700 of its drugstores

HFMA's Chad Mulvany says Walgreens could be well positioned with the right health plan partner to succeed in population-based payment models.

Chad Mulvany, FHFMA July 17, 2020

Walmart’s launch of a Medicare Advantage plan will likely impact provider service volumes

HFMA's Chad Mulvany says if Walmart applies its experience reducing healthcare costs for its associates to its new MA products, it will reduce utilization for healthcare services.

Chad Mulvany, FHFMA July 16, 2020

Regional differences emerge in hospital volume recovery from COVID-19

Hospitals in the Mid-Atlantic have struggled the most to recover outpatient volumes as patient fears linger in the wake of the COVID-19 pandemic.

Rich Daly July 16, 2020

‘Carve outs’ among keys in managed care negotiations

Carve outs are a critical tool hospitals should use in negotiations with health plans to ensure the costs of more expensive conditions are covered.

Rich Daly July 16, 2020
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