Pricing

Price transparency as a guiding principle: directionally correct

HFMA President and CEO Joe Fifer offers a perspective on HFMA’s approach to price transparency vis-à-vis the upcoming CMS regulations on payment rate transparency.

Joseph J. Fifer, FHFMA, CPA August 27, 2020

Healthcare consumers want information personalized to their situation from health plans

HFMA's Chad Mulvany says patients and consumers need information that’s relevant to their specific clinical situation and out-of-pocket costs for price and quality information to be meaningful.

Chad Mulvany, FHFMA August 3, 2020

Congress may not provide a surprise bill fix prior to the election, but patients may find HFMA’s consumer guide useful

Given Congress is unlikely to provide a surprise bill fix prior to the election, Chad Mulvany suggests hospitals provide patients with HFMA's consumer guide on avoiding surprise bills to learn what questions to ask prior to any scheduled services.

Chad Mulvany, FHFMA July 29, 2020

State public option efforts waiver in face of the COVID-19 pandemic

HFMA's Chad Mulvany says although COVID-19 may have "dampened enthusiasm" for Washington state's public option, he is not sure the blame for its slow start rests solely, or even partly, on COVID-19.

Chad Mulvany, FHFMA May 28, 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

CMS seeks healthcare provider comments on possible new methodology to calculate MS-DRG weights

HFMA's Chad Mulvany reviews possible technical and legal challenges CMS may face as it proposes to collect provider pricing data.

Chad Mulvany, FHFMA May 19, 2020

Strong financial leadership is likely key to the success of accountable communities for health

HFMA's Katie Gilfillan says strong financial leadership is required to manage and source the complex funding and ensure the long-term financial sustainability of accountable communities for health.

Katie Gilfillan May 18, 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

Not like the others: House Ways and Means surprise bill legislation

Provider friendly House Ways and Means surprise bill draft legislation doesn't rely on a benchmark payment rate like competing versions.

Chad Mulvany, FHFMA February 13, 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
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