HFMA
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HFMA
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Interoperability Standards and Prior Authorization for Drugs Proposed Rule Summary
HFMA provides a detailed summary of the proposed rule intended to improve the electronic exchange of health care data and streamline processes related to prior authorization by increasing the interoperability of systems used across the health care industry.
FY 2027 IPPS/LTCH PPS Proposed Rule Summary
HFMA presents a detailed summary of the FY 2027 Medicare inpatient prospective payment system and long-term care hospital prospective payment system proposed rule published in the Federal Register on April 14, 2026.
HFMA’s P&P Board Comments on GASB’s Proposed Implementation Guide, Financial Reporting Model Improvements-Subsidies
HFMA’s P&P Board comments on the GASB’s Proposed Implementation Guide, Financial Reporting Model Improvements-Subsidies.
MedPAC April 2026 Public Meeting Summary
HFMA presents a summary of the MedPAC public meeting held on April 9-10, 2026.
2027 Medicare Advantage – Part D Final Rule Summary
HFMA provides a detailed summary of a final rule that will revise regulations affecting Medicare Advantage (Part C), Medicare Prescription Drug Benefit (Part D), Medicare cost plans, and Programs of All-Inclusive Care for the Elderly (PACE).
Highlights of the Administration’s FY 2027 Budget
HFMA provides highlights of healthcare-related discretionary funding levels included in the President’s Discretionary Budget Request for FY 2027.
FY 2027 Skilled Nursing Facility PPS Proposed Rule Summary
HFMA presents a detailed summary of the proposed rule updating for FY 2027 the Medicare skilled nursing facility (SNF) payment rates, SNF Quality Reporting Program and the SNF Value-Based Purchasing Program.
FY 2027 Hospice Payment Rate Update Proposed Rule Summary
HFMA presents a detailed summary of the proposed rule updating the Medicare hospice payment rates, wage index and Hospital Quality Reporting Program for FY 2027.
FY 2027 Inpatient Psychiatric Facilities PPS Proposed Rule Summary
HFMA presents a detailed summary of the FY 2027 Inpatient Psychiatric Facilities Prospective Payment System proposed rule, published in the April 7, 2026, Federal Register.
Predict, prevent, perform: The AI evolution of denials management
Healthcare providers continue to face escalating denial rates that erode financial performance and operational capacity. In 2025, denial rates averaged near 12%, with many organizations experiencing even higher volumes — each percentage point representing millions of dollars tied up in unresolved claims. The growing volume and complexity of denials are no longer manageable with legacy,…