HFMA senior writer/editor
About the Author
HFMA senior writer/editor
Latest Work
Can Maryland Hospital Price-Setting Serve as a National Model?
April 10—Hospitals may have reasons to support a shift to a global budget model like the one used in Maryland, some healthcare policy leaders say.
MedPAC Recommends $250 Million ED Cut
April 9—Medicare should cut payment rates for many emergency departments (EDs) by 30 percent, Congress’s leading Medicare advisory panel recommended this week.
FFS Medicaid Most Challenging for Billing: Study
April 4—One of the first direct comparisons of billing complexities between various types of payers found that Medicaid fee-for-service (FFS) programs were the most challenging for providers.
Medicare Advantage Rates, Policies Draw Insurer Praise
April 3—Medicare Advantage (MA) plans received an unexpected pay boost and generally beneficial policies in the final call letter and rules issued this week for 2019.
LTCH Pay Change to Cover Less than Half of Costs: Analysis
April 2—An ongoing Medicare payment change will cover less than half of the costs of care for long-term care hospital (LTCH) patients who are subject to it, according to a new analysis.
Association Health Plans Advance Over Hospital Concerns
March 20—Congressional Republicans and small-business advocates this week rejected hospital concerns that proposed rules to allow a proliferation of association health plans (AHPs) would produce a range of problems.
340B Hospitals and Drugmakers Battle Over Transparency
March 16—Supporters and critics of the 340B discount drug program agree that more transparency is needed, but they remain sharply divided over who needs to be transparent and what such reporting should include.
MACRA Improvements Coming, CMS Official Says
March 13—A series of regulatory changes are coming to the Medicare physician payment system this year, including an effort to ease quality-data reporting by hospital-employed physicians.
Where Is the Federal Government Going on Value-Based Pay?
March 9—Comments from the leader of federal healthcare policy disparaging the leading value-based payment models and hinting at new directions left some industry analysts confused, but others saw evidence of emerging models.
Will CMS Allow Limits on Medicaid Eligibility?
March 7—Federal officials this week approved the third Medicaid waiver that requires work or other steps by beneficiaries but put off a decision on the key question of limiting eligibility.