Payment Trends

Medicaid provider rate cuts forecast as states anticipate budget shortfalls

Because the CARES Act prohibits states that received increased funding from cutting benefits, increasing premiums or restricting eligibility, one of the few available options to reduce costs is making provider rate cuts.

Chad Mulvany, FHFMA May 27, 2020

Is another health plan featuring virtual PCPs as primary access point a sign of things to come?

HFMA's Chad Mulvany questions if the recent expansion of telehealth could stimulate a trend of plans offering virtual PCPs as the primary care access point.

Chad Mulvany, FHFMA May 27, 2020

After patient volume collapsed amid the coronavirus pandemic, some see signs of recovery

Hospitals faced steep patient volume declines in March and April, but signs indicate levels could be recovering as elective procedures resume.

Rich Daly May 26, 2020

HHS offers providers some clarification on CARES Act funding

Some details of CARES Act funding were clarified by an HHS spokesperson this week, but other important details remained unclear.

Rich Daly May 26, 2020

Why some hospitals won’t receive a second round of CARES Act funding

Some hospitals may not qualify for a second round of general CARES Act funding, HHS says.

Rich Daly May 26, 2020

HHS pays $12 billion to compensate 395 hospitals for ‘high impact’ from COVID-19, and more may come

Nearly 400 hospitals and health systems have received $12 billion in COVID-19 "high impact" grants.

Rich Daly May 26, 2020

Hospital provisions could end up in the next coronavirus bill passed by Congress

Congress is expected to enact another major coronavirus bill with hospital provisions by early July.

Rich Daly May 26, 2020

Questions remain on HRSA’s FAQs on billing uninsured COVID-19 claims

HFMA's Chad Mulvany says it's unclear whether IME and DSH payments are included in the "Medicare rates" that HRSA will pay hospitals for treating COVID-19 uninsured patients.

Chad Mulvany, FHFMA May 13, 2020

Congress approves $75 billion in additional COVID-19 relief for providers

President Trump signed legislation April 24 to add $75 billion to provider relief related to the effects of the coronavirus.

Rich Daly April 24, 2020

Urgent: HHS extends deadline for hospitals to submit data to receive CARES Act funding

To inform how additional CARES Act funds are distributed, HHS is asking all hospitals to provide certain information by 11:59 p.m. PT on Thursday, April 23.

HFMA April 23, 2020
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