Payment Reimbursement and Managed Care

HHS offers providers some clarification on CARES Act funding

Some details of CARES Act funding were clarified by an HHS spokesperson this week, but other important details remained unclear.

Rich Daly May 26, 2020

Moody’s projects cash will be stable for rated hospitals through the summer

Federal assistance programs should stabilize hospital cash through the summer, when Medicare repayments will create major financial pressure.

Rich Daly May 26, 2020

Why some hospitals won’t receive a second round of CARES Act funding

Some hospitals may not qualify for a second round of general CARES Act funding, HHS says.

Rich Daly May 26, 2020

HHS pays $12 billion to compensate 395 hospitals for ‘high impact’ from COVID-19, and more may come

Nearly 400 hospitals and health systems have received $12 billion in COVID-19 "high impact" grants.

Rich Daly May 26, 2020

Hospital provisions could end up in the next coronavirus bill passed by Congress

Congress is expected to enact another major coronavirus bill with hospital provisions by early July.

Rich Daly May 26, 2020

The increased uninsured population and changes in coverage for others requires healthcare finance departments to revise their practices

As a result of unemployment, insurance coverage has changed for millions of Americans, making it more important than ever for healthcare providers to offer financial counseling, community outreach and patient education.

Chad Mulvany, FHFMA May 21, 2020

CARES Act payback problem for some healthcare providers

HFMA is concerned about some providers ability to repay AAP Programs loans because they must repay CMS an average of $1.25 million more than received from the CARES Act Provider Relief Fund.

Chad Mulvany, FHFMA May 21, 2020

CMS seeks healthcare provider comments on possible new methodology to calculate MS-DRG weights

HFMA's Chad Mulvany reviews possible technical and legal challenges CMS may face as it proposes to collect provider pricing data.

Chad Mulvany, FHFMA May 19, 2020

Strong financial leadership is likely key to the success of accountable communities for health

HFMA's Katie Gilfillan says strong financial leadership is required to manage and source the complex funding and ensure the long-term financial sustainability of accountable communities for health.

Katie Gilfillan May 18, 2020

Questions remain on HRSA’s FAQs on billing uninsured COVID-19 claims

HFMA's Chad Mulvany says it's unclear whether IME and DSH payments are included in the "Medicare rates" that HRSA will pay hospitals for treating COVID-19 uninsured patients.

Chad Mulvany, FHFMA May 13, 2020
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