Nick Hut
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Nick Hut
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Hospital groups express concern over earlier court ruling that could expand False Claims Act liability
The groups argue that allowing FCA claims to be brought for post-termination actions would defy congressional intent and leave hospitals subject to excessive financial liability.
With substantial Medicare payment cuts pending, medical groups call for Congress to act
Payment cuts scheduled for 2022 would amount to a 9.75% reduction in Medicare revenue for medical groups, which are calling on Congress to pass legislation to stop the cuts.
Providers must furnish ‘good-faith’ price estimates to self-pay patients starting next year
A newly issued federal rule on surprise billing includes regulations designed to improve price transparency for self-pay patients.
Healthcare M&A activity for Q3 remains low in volume but high in impact, firms report
The number of M&A transactions involving hospitals and health systems remained at historically low levels, but the average revenue involved was far higher than in recent years.
The finalized arbitration process in new surprise-billing regulations appears to favor insurers over hospitals
A new rule establishes a process for resolving payment disputes between health plans and hospitals when regulations on surprise billing begin in 2022.
Consumerism and the transition to value are among the trends drawing strategic reactions from healthcare providers, survey finds
A recent survey finds healthcare providers working to ensure their strategic planning incorporates key trends, spurring innovations in care delivery models.
The stakes are only growing in efforts to improve the cost effectiveness of health, CMMI’s Elizabeth Fowler says
The head of the Center for Medicare & Medicaid Innovation spoke with an HFMA audience about the importance of efforts at the federal level and beyond to improve the cost effectiveness of health.
Hospital groups urge changes to Provider Relief Fund distribution and reporting processes
HHS should send out the upcoming Provider Relief Fund distribution as quickly as possible and offer flexibility in the ongoing reporting process, hospital groups said.
After a long wait, HHS sends out details on the next Provider Relief Fund distributions
The U.S. Department of Health and Human Services announced $25.5 billion in upcoming distributions from the Provider Relief Fund.
Site-of-care payment issues get highlighted by UnitedHealthcare and MedPAC
A new report issued by a leading health plan is the latest sign that hospitals and health systems can expect payers to ramp up implementation of site-neutral payments.