Payment Trends

For Biden’s potential HHS pick, priorities include public option, hospital M&A, cost control

A Biden administration would push a public option, negotiate hospital prices and target hospital M&A, an adviser says.

Rich Daly September 9, 2020

Critical access hospitals will avoid Medicare cuts stemming from Paycheck Protection Program loans, Verma says

CMS does not intend for PPP loans to factor into Medicare payments to rural providers, the agency’s administrator recently clarified.

Rich Daly August 14, 2020

HHS reopens applications for COVID-19 provider assistance

Providers that rejected the first round of federal coronavirus grants will have another chance in August to seek some of those funds, as will other categories of providers.

Rich Daly August 11, 2020

More hospital consolidation is expected post-pandemic

Supporters and opponents of hospital mergers and acquisitions expect such deals to increase in the aftermath of COVID-19..

Rich Daly August 10, 2020

OPPS proposed rule would eliminate ‘inpatient only’ list of procedures

The CY21 OPPS proposed rule would eliminate the inpatient-only list of services over three years while increasing the number of ASC-eligible procedures, and also would increase 340B payment cuts and overhaul the hospital star-rating system.

Rich Daly August 5, 2020

Trump orders new rural payment model, permanent expansion of telehealth

President Trump ordered HHS to develop a new payment model for rural healthcare providers and to use its regulatory authority to make telehealth expansion permanent.

Rich Daly August 5, 2020

A scarcity of rural ICU beds means little revenue amid the COVID-19 resurgence

Half of low-income rural areas lack ICU beds, which is depriving hospitals of revenue during ongoing COVID-19 surges.

Rich Daly August 4, 2020

Hospitals decry appeals court decision upholding 340B cuts

An appeals court upheld $1.6 billion in annual Medicare payment cuts to 340B hospitals.

Rich Daly August 3, 2020

Elective surgery volume near normal in late July, analysis finds

Elective surgeries recovered in July following earlier state bans. However, a growing number of states are re-imposing bans amid a COVID-19 resurgence.

Rich Daly July 31, 2020

Rethinking patient payments and providing a consumer-friendly experience

An innovative healthcare technology company talks about how its technology-fueled billing and payment platform enables a compassionate patient financial experience while efficiently driving revenue into a healthcare organization.

HFMA July 31, 2020
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