Payment Reimbursement and Managed Care

Enrollment largely stable in ACA marketplaces

There will be no practical impact from any court ruling on the Affordable Care Act until a Supreme Court decision comes down in 2020 at the earliest.

Rich Daly December 26, 2019

Top 10 HFMA Daily stories of 2019

Look back at the year with our top stories.

HFMA December 23, 2019

Hospital price study draws pushback

The dramatic conclusion of new research that hospitals prices are more than 200 percent of Medicare rates is raising questions among industry analysts.

Rich Daly December 23, 2019

After ACA court decision, ‘Nothing is changing’ immediately

There will be no practical impact from any court ruling on the Affordable Care Act until a Supreme Court decision comes down in 2020 at the earliest.

Rich Daly December 23, 2019

How Montana got hospitals to accept Medicare-based payment rates

Montana moved its hospitals to Medicare-based payment rates to help reduce costs for its state-employee health plan.

Rich Daly December 20, 2019

A 5-month delay of the DSH payment cut is among new federal budget provisions

A delay of a $4 billion cut to hospital DSH payments was included in a year-end federal funding package.

Rich Daly December 20, 2019

‘Medicare for All’: What would it really mean for healthcare stakeholders?

“Medicare for All” would have varying impacts on hospitals, physicians and health plans but would be expected to cause financial hardship in the majority of cases.

Richard Rollo December 19, 2019

Battle emerges over value-based safe harbors included in anti-fraud overhaul

Although proposed Stark Law exceptions have drawn praise in comments from many healthcare stakeholders, others see reasons for caution.

Rich Daly December 18, 2019

‘We were completely wrong’: How Henry Ford Health System won a major direct contract

How one health system won a large direct contract as such arrangements become more widespread.

Rich Daly December 16, 2019

7 keys to engaging physicians for success under BPCI-A

Physician engagement is a critical success factor for health systems that are pursuing bundled payment initiatives.

Douglas Ardoin Jr., MD, MBA December 16, 2019
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