HFMA
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HFMA
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Medicaid Managed Care State Directed Payments and FFS Targeted Medicaid Practitioner Payments Proposed Rule Summary
HFMA provides a detailed summary of the rule that includes proposals to implement the provisions of the “Working Families Tax Cut” legislation, which modify the limit on the total payment rate and other requirements for State directed payments (SDPs) in Medicaid managed care with respect to certain service types and SDPs, and the proposals to expand application of the modified limit to all SDPs and all service types and to set a limit for certain targeted Medicaid payments in Medicaid fee-for-service.
Healthcare cost containment strategies shift: 3 proven ways hospitals can reduce costs
Healthcare cost containment — defined as the ability to reduce healthcare costs, ranging from labor costs to operational expenses to administrative waste — remains a top priority for healthcare leaders. In fact, the ability to maintain financial stability depends on a hospital’s ability to not only improve margins, but also cut excess expense. Rising use…
Prior authorization is draining revenue, which is why automation has become a strategic imperative
Prior authorizations have entered a different era. The process has become one of healthcare’s most expensive administrative bottlenecks, affecting far more than physician practices. Across hospitals and health systems, it slows patient access, adds labor-intensive work, increases denial risk, and puts pressure on reimbursement and cash flow. For organizations focused on growth, margin, and operational…
5 keys to enhancing automation, expanding capacity and improving efficiency to reduce costs
Healthcare organizations in 2026 are operating under sustained financial strain. Margins remain compressed, workforce shortages continue, payer requirements are more complex and patient financial responsibility has increased. At the same time, many revenue cycle operations still rely on fragmented systems and manual processes that limit efficiency and delay cash flow. The traditional, reactive revenue cycle…
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.