In a ‘setback,’ hospital margins, volumes decreased
Hospitals' financial recovery took a step backward in August, according to a monthly report.
Healthcare organizations should expect a surge in managed care audits and reviews in the COVID-19 aftermath
Healthcare providers should prepare for emerging trends in payer audits, reviews and associated information requests, after the brief lull in such activities that occurred with the onset of the COVID-19 pandemic.
How to lay the foundations for success under CMS’s new MDC program
The CMS Medicare Direct Contracting (MDC) program offers hospitals and health systems a unique opportunity take the next step in value-based payment and population health management. Success requires the right targeted investments in expertise and infrastructure.
3 contracting strategies to accelerate a COVID-19 financial recovery for providers
Having suffered significant losses due to the COVID-19 pandemic, healthcare providers require effective strategies to achieve a more equitable balance with payers, which have actually enjoyed a financial windfall as a result the pandemic.
Rand releases updated study of hospital payment variation in commercial market
HFMA's Chad Mulvany says it’s imperative that everyone in the U.S. supports safety-net hospitals, or there will be an increase in the disparities in access to basic healthcare services between the haves and have-nots.
Increased ACA uncertainty at the U.S. Supreme Court upon death of RBG
HFMA's Chad Mulvany says given the Supreme Court’s historically narrow view on severability, many legal experts doubt the court, even with its new makeup, will overturn the entirety of the ACA.
More policymaking likely as the 2020 presidential election approaches
HFMA's Chad Mulvany says given the Trump administration’s focus on transparency, it’s possible the Transparency in Coverage final rule could be released prior to the election.
Mandatory Medicare ESRD model to launch in January 2021
A mandatory model for 30% of the clinicians and facilities treating kidney failure will launch Jan. 1.
Deductibles rising, underinsurance rates worsening in individual coverage, survey finds
Deductibles and underinsurance are increasing among those with individual-market coverage.
ED, inpatient volumes have stagnated since June, analysis finds
Hospitals’ ED and inpatient volumes have not improved since the June surge in patients following the resumption of most hospital services after COVID-19 service suspensions were lifted.