Payment Reimbursement and Managed Care

What to expect from Medicaid block grant waivers

HFMA's Chad Mulvany says the macro design choice that matters to most to providers in any state that adopts the block grant program will be whether the state chooses the true block grant financing option, or if it selects a per capita cap based on the prior year’s enrollment.

Chad Mulvany, FHFMA February 10, 2020

How Cigna aims to limit healthcare spending increases to mirror the consumer price index

One of the nation’s largest health plans aims to cut spending increases on healthcare services to align with the consumer price index by the end of 2021.

Rich Daly February 10, 2020

Is Walmart taking a page out of Clayton Christensen’s playbook?

Walmart developing a low-cost service focused on a segment of the market that traditional players tend to avoid – the uninsured and underinsured – may signal ambitions to move further into healthcare delivery.

Chad Mulvany, FHFMA February 7, 2020

HFMA provides comments in support of its members on ‘tri-agency’ price transparency proposed rule

HFMA comments on and suggests improvements to a proposed rule issued by U.S. Departments of Health and Human Services, Labor and the Treasury requiring health plans to provide their members with out-of-pocket cost estimates.

Chad Mulvany, FHFMA February 4, 2020

Key takeaways from North Carolina’s move to value-based healthcare

Keith Moore, CEO of McManis Consulting, shares his perspectives on North Carolina’s move to value-based payment and what it means for hospitals and health systems nationwide.

Eric C. Reese, PhD February 4, 2020

Find the latest numbers shaping healthcare finance

Learn the key numbers that shaped healthcare finance policy and practice in recent weeks.

Rich Daly February 3, 2020

New Medicaid waivers draw concern from hospitals, optimism from others

The new Medicaid waivers offered by the Trump administration could generate both good and bad outcomes for hospitals.

Rich Daly February 3, 2020

Elizabeth Warren’s Medicare-for-All plan: The devil in the details

Any objective analysis of Elizabeth Warren’s proposal for Medicare for All should consider its enormous societal and federal costs, and its likely impacts on the health insurance industry and hospitals.

Ken Perez January 31, 2020

Feb. 2-7: Senate hearing on private provider care for veterans 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. 2.

Rich Daly January 30, 2020

Health system obstacles can prevent the elimination of low-value services

Health system processes — not just physician practice patterns — can create obstacles to eliminating low-value care, value-based payment advocates have found.

Rich Daly January 30, 2020
googletag.cmd.push( function () { googletag.display( 'hfma-gpt-leaderboard' ); } );