A murky step in the right direction: HHS releases updated CARES Act Provider Relief Fund guidance
HHS, in a recent update, partially reverts back to the June 19 FAQs, which based the amount of PRF a provider is entitled to on lost revenue as opposed to its switch to lost margin in the Sept. 19 guidance.
Home health provider looks to scale hospital-at-home model
HFMA's Chad Mulvany says this capability positions Dispatch Health as an ideal partner to Medicare Advantage plans or PCPs in risk-sharing models with MA plans, to reduce the total cost of care while maintaining high-quality outcomes.
Providers should prepare for a possible expansion of Medicare site-neutral policies
HFMA’s Chad Mulvany says if the CY2021 OPPS rule is finalized as proposed without significant modifications to CMS's MS-DRG weight-setting process, it heightens the need for hospitals to expand outpatient/ASC capacity and continue aggressive cost management.
Continued growth in employer-paid healthcare premiums may spur employers to find alternative solutions
HFMA's Chad Mulvany says large employers have signaled a possible end to their patience for traditional players to provide a traditional solution, and he reviews what solutions they could pursue instead.
Latest HHS provider relief fund FAQs offer insight into what’s permissible under the Sept. 19 reporting requirements
HFMA's Chad Mulvany says due to HHS's whipsaw approach to the provider relief fund FAQs and guidance, any clarity to be derived from the Phase 3 application instructions and FAQs needs to be considered with a measure of caution.
HHS announces Phase 3 CARES Act Provider Relief Funding
The U.S. Department of Health and Human Services will accept applications for Phase 3 General Distributions of provider relief funds Oct. 5 – Nov. 6.
Major insurers roll back no-cost sharing telehealth services
HFMA's Chad Mulvany says patients who received a surprise bill for a telehealth visit will likely blame the provider.
Congress alters the terms for Medicare loans
Recently passed legislation relaxes terms of the Medicare Advanced and Accelerated Payment Program loans for hospitals and and other providers.
Rand releases updated study of hospital payment variation in commercial market
HFMA's Chad Mulvany says it’s imperative that everyone in the U.S. supports safety-net hospitals, or there will be an increase in the disparities in access to basic healthcare services between the haves and have-nots.
Increased ACA uncertainty at the U.S. Supreme Court upon death of RBG
HFMA's Chad Mulvany says given the Supreme Court’s historically narrow view on severability, many legal experts doubt the court, even with its new makeup, will overturn the entirety of the ACA.