Payment Reimbursement and Managed Care

Many ‘failed’ federal healthcare quality programs need to end, analysts say

Experts on value-based payment say many federal programs have failed to produce results and need to be swept aside.

Rich Daly February 19, 2020

Fitch warns about a potentially big hit to NFP hospitals from Medicaid payment changes

The credit standing of not-for-profit hospitals could take a hit from proposed changes to aspects of Medicaid financing, according to a rating agency.

Rich Daly February 18, 2020

In response to providers, CMS offers further specifics about direct contracting

CMS officials further clarified the coming direct-contracting model during a series of discussions with providers.

Rich Daly February 14, 2020

Jan. 6-10: CMS direct-contracting updates are among upcoming healthcare finance events

A complete listing of healthcare finance-related hearings, conferences, webinars, public forums and deadlines for the week of Jan. 6.

Rich Daly February 14, 2020

“Medicare for All” isn’t equitable for all hospitals

A payment model in which 100% of payments are based on Medicare rates should take into account the inherent disadvantages of such an approach for the large hospitals, including academic medical centers, that provide most Medicare outlier cases.

Glen Kazahaya February 13, 2020

Not like the others: House Ways and Means surprise bill legislation

Provider friendly House Ways and Means surprise bill draft legislation doesn't rely on a benchmark payment rate like competing versions.

Chad Mulvany, FHFMA February 13, 2020

Implications for a CFO-led strategic response to a Medicare-based payment system

If a payment model that bases payment on Medicare rates is adopted, CFOs should prepare for its financial implications by implementing a modified benchmarking system that accounts for outliers.

Glen Kazahaya February 13, 2020

A single-payer system based on Medicare rates poses inherent challenges

A payment model under which 100% of payments are based on Medicare rates r\aises important questions of how to fund such a plan.

Glen Kazahaya February 13, 2020

Trump administration details hospital spending plans in FY21 proposed budget

The Trump administration signaled its federal healthcare spending priorities in its proposed annual budget, which includes a slew of hospital cuts.

Rich Daly February 12, 2020

Feb. 10-14: Release of the Trump administration’s FY21 budget is among upcoming healthcare finance events

A complete listing of healthcare finance-related hearings, conferences, webinars, public forums and deadlines for the week of Feb. 10.

Rich Daly February 10, 2020
googletag.cmd.push( function () { googletag.display( 'hfma-gpt-leaderboard' ); } );