HFMA
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HFMA
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How price transparency improves patient trust and collection rates
Price transparency in healthcare has moved well beyond being a regulatory obligation. In today’s consumer-driven environment, it has become a strategic capability that directly influences patient trust, access to care and revenue cycle performance. Patients increasingly expect clear, upfront information about what care will cost, what their insurance will cover and what they will be…
Interactive Guide: 2026 is a Revenue Cliff for Hospitals. Are You Exposed?
RCM leaders and CFOs can download this guide for a practical, data-driven plan to close front-end gaps, automate workflows, and recover lost revenue—before risk turns into write-offs.
Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) Model Summary
HFMA presents a detailed summary of CMMI’s Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) Model.
The power of connection: Redefining healthcare collaboration through payer-provider interoperability
By leaning into a new era of payer-provider interoperability through technology investments and collaborative innovation and communication, healthcare organizations can strengthen health outcomes while building better relationships with consumers. Learn more about critical elements for success in this white paper.
Operational resilience is the revenue cycle management imperative of the OBBBA era
The One Big Beautiful Bill Act (OBBBA) has altered Medicaid eligibility in ways hospitals can no longer treat as a background policy issue. Reverification of Medicaid coverage now happens so frequently that patients lose coverage for administrative reasons that have nothing to do with whether they actually qualify. Much of the industry dialogue has centered…
DMEPOS Fee Schedule Rate Comparison Tables for 2025 and 2026
HFMA presents a spreadsheet comparing calendar year 2026 to 2025 payment rates for the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) fee schedule.
Transparency in Coverage Proposed Rule Summary
HFMA presents a detailed summary of a proposed rule published by the Departments of Labor, Health and Human Services, and the Treasury in the December 23, 2025,Federal Register, updating the Transparency in Coverage regulations.
Alternative Payment Model Updates and the Increasing Organ Transplant Access Model Proposed Rule Summary
HFMA presents a detailed summary of the proposed rule that would update and revise the Increasing Organ Transplant Access (IOTA) Model.
MACPAC December 2025 Public Meeting Summary
HFMA presents a detailed summary of the Medicaid and CHIP Payment and Access Commission’s (MACPAC’s) public meeting held on December 11, 2025.
OBBBA Medicaid impacts: How to navigate state-directed payment revenue reduction
On July 4, 2025, President Trump signed the One Big Beautiful Bill Act (OBBBA) into law, initiating one of the most significant shifts in federal fiscal policy in recent years. The legislation introduces sweeping tax reforms and spending reductions, with healthcare providers positioned to experience the most substantial impact. OBBBA authorizes a $1 trillion reduction in federal Medicaid spending…