2023 regulations for Medicare Advantage and ACA marketplaces seek to enhance network adequacy standards
HHS and CMS recently released sets of 2023 regulations that affect provider network adequacy standards in Medicare Advantage and the Affordable Care Act insurance marketplaces.
IPPS FY23 proposed rule: Tweaks are in store for Medicare’s quality-reporting and pay-for-performance programs
Temporary modifications to two pay-for-performance programs would ensure hospitals don’t face penalties amid the COVID-19 pandemic.
Anthony Comfort of VisiQuate discusses opportunities for technology in healthcare, both in the clinical space and in revenue cycle
The pandemic pushed healthcare organizations to consider how they were using their technology and where the greatest opportunities lie. This week, Anthony Comfort of VisiQuate discusses some of those opportunities as well as barriers to success. Also in this episode, Brad Brotherton of BKD discusses how his firm stands out and how its merger with DHG will strengthen its services.
Finding solutions to better manage payment process workflows
In this roundtable, revenue cycle leaders share their challenges, how they have enhanced payment processes through automation, and how they have identified opportunities for improvement.
Healthcare finance leaders share innovative approaches to pandemic challenges
In this Roundtable, several senior financial leaders discuss how their organizations are handling new and persistent problems and what role technology plays in solving staffing issues.
Cost Effectiveness of Health Report, April 2022
The April 2022 edition of HFMA’s Cost Effectiveness of Health Report includes a preview the May issue of hfm, which focuses on telehealth, a key tool for promoting value-based care CEoH. Another article explores ways to promote health equity in revenue cycle processes, and a case study describes how one health system embarked on an initiative to achieve greater diversity among its revenue cycle staff.
HHS policy update: Recent developments include an extension of the public health emergency and notable progress in reducing the Medicare appeals backlog
HHS Secretary Xavier Becerra signed a 90-day extension of the COVID-19 public health emergency, ensuring the PHE will last until at least mid-July.
More than 2 years into the pandemic, the issue of deferred care continues to affect the healthcare industry
Concerns about the implications of deferred care continue to grow as healthcare organizations establish their strategies for a post-pandemic landscape.
Reimagine your workforce to help overcome staffing shortages
For revenue-cycle functions, staffing shortage solutions can be found by improving efficiencies through automation and expanding the labor pool with remote and hybrid positions as well as off-shoring partners.
News Briefs: Federal funding bill addresses hospitals’ 340B eligibility concerns, extends telehealth waivers
A monthly roundup of top news for healthcare finance professionals.