Reimbursement

Intermountain Healthcare to provide hospital-at-home services for some higher-acuity patients

The move to hospital at home for higher-acuity patients by some health systems can create savings for their Medicare Advantage and other full risk products and for its Administrative Services Only clients.

Chad Mulvany, FHFMA June 17, 2020

COVID-19 pandemic weakens push for public option

The COVID-19 pandemic appears to have weakened the push of states to implement public option health plans.

Rich Daly June 16, 2020

How the Trump administration is weighing continued telehealth expansion

The Trump administration is examining several key factors to determine whether to continue expanded use of telehealth, says a senior official.

Rich Daly June 15, 2020

Impact of the COVID-19 pandemic impact could cause more hospitals to breach debt covenants

If Congress does not take action to prevent financial penalties for already financially distressed hospitals, another financial hit could be the final blow for many healthcare organizations already feeling the financial impact of the pandemic.

Chuck Alsdurf June 11, 2020

Where are Medicare value-based payment models headed after COVID-19?

The pandemic-driven changes in policies, payment and patient attitudes could change participation in and provider approaches to value-based payment models, say advisers.

Rich Daly June 10, 2020

Latest COVID-19 federal assistance only partially targets hospitals

Hospitals will quality for only some of the new provider-assistance funding pools HHS unveiled this week.

HFMA June 10, 2020

Safety net hospitals could see increase in payments if CMS updates estimates of uninsured in 2021 IPPS final rule

HFMA's Chad Mulvany explains why a small percentage point increase in the uninsured rate could significantly impact the UC DSH dollars available to safety net hospitals at a time when they are financially struggling due to COVID-19.

Chad Mulvany, FHFMA June 8, 2020

Optum’s naviHealth acquisition will help lower the total cost of care for UHC members and Optum physician practice patients

Optum's naviHealth purchase rounds out is capabilities, ensuring its UHC members — particularly MA members and Optum's practices' patients — receive the right care in the right setting at the right time post hospitalization.

Chad Mulvany, FHFMA June 4, 2020

CMS acts to limit losses for participants in value-based payment programs during COVID-19

CMS offered numerous ways that providers in value-based payment models can reduce their financial risk during the COVID-19 pandemic.

Rich Daly June 4, 2020

With 26,000 COVID-19 deaths in nursing homes, CMS ties money to outcomes

New federal data show that although only 4% of COVID-19 infections occurred in nursing homes, 17% of deaths from the disease happened in those locations.

Rich Daly June 3, 2020
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