HFMA senior writer/editor
About the Author
HFMA senior writer/editor
Latest Work
Where Health Plan-Provider Value-Based Partnerships Trip Up
May 1—An inability to successfully integrate clinical and claims data is among the key challenges in creating and sustaining health plan-provider value-based partnerships, said an executive involved in one such effort.
Medicare Offers Post-Acute Care Pay Boost
April 30—Faced with operating headwinds, post-acute care providers stand to garner an unexpected FY19 payment boost from Medicare.
Online Posting of Charges Among New Medicare Rules Proposals
April 25—Hospitals would be required to post their “standard charges” online by FY19 under Medicare rules proposed this week.
Emergency Department Visits Drop, Nonurgent Use Rises: CDC
April 23—Amid increasing efforts by private and public payers to rein in emergency department (ED) spending, recent federal data showed divergent trends between overall visits and nonurgent visits.
Latest ACO Trends Identified
April 20—Although private accountable care organizations (ACOs) appear to be gaining ground, the Medicare versions are still leading—amid challenges.
New MA Rules Benefit Provider-Sponsored Plans
April 18—Recently announced Medicare Advantage (MA) rates and rule changes could help sometimes-struggling provider-sponsored plans improve their performance.
Hospital Deals Accelerate in 2018
April 17—Hospital mergers and acquisitions accelerated during the first part of 2018, according to deal-tracking companies.
Hospitals Urge Caution in Federal Transparency Push
April 17—In response to a new Senate price and quality transparency initiative, hospital advocates outlined measures they would support but also urged caution in pursuing new federal requirements.
Confirming Eligibility of ACA Medicaid Enrollees ‘Top Priority’ of Administration
April 13—Amid a recent finding that three states spent more than $1 billion on enrolling ineligible Medicaid beneficiaries, the Trump administration is prioritizing the verification of eligibility among the 11 million who were added to the Medicaid rolls through healthcare reform.
Are ACOs Saving Medicare Money?
April 10—Whether accountable care organizations (ACOs) save money for Medicare has emerged as a key question because it could determine how hard regulators push participating providers to take on downside risk.