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Study: In price negotiations with hospitals, self-insured employers lack leverage
The vast difference in market power between hospitals and employers leaves the latter group with little recourse in negotiations, according to a new study.
ACO leaders support new bill designed to boost participation in value-based payment
Accountable care organizations stand to benefit from a new bill that would increase investment funding and make changes to federal ACO programs, several executives said.
Fitch describes the heightened risk posed by cyberattacks on not-for-profit hospitals
Cyberattacks on NFP hospitals increased substantially during the COVID-19 pandemic and show no signs of abating, Fitch says.
HFMA’s Annual Conference virtual preview offers a glimpse of what’s coming in November
The three-hour virtual preview of the Annual Conference, including a look at the educational tracks, key speakers and other attractions, is available on-demand.
Study establishes a link between surges in COVID-19 cases and risk of mortality at hospitals
Statistical analysis shows nearly a quarter of COVID-19 deaths during the first six months of the pandemic could be ascribed to high caseloads at hospitals.
In 2022 OPPS rule, CMS plans to reinstate policies pertaining to the inpatient-only and ASC covered-procedures lists
The 2022 proposed rule for the Outpatient Prospective Payment System would reverse 2021 policies that began to phase out the inpatient-only list of procedures and expand the covered-procedures list for ambulatory surgical centers.
Annual healthcare investor conference showcases the innovation taking place in the not-for-profit hospital industry
At the 2021 Not-for-Profit Health Care Investor Conference, health system executives and industry thought leaders described how hospitals are evolving to meet the needs of communities.
CMS is preparing to make noncompliance with price transparency requirements much more expensive
A hospital with at least 550 beds would owe more than $2 million in penalties for a year of noncompliance with new price transparency requirements, according to a proposed rule.
CMS’s 2022 Medicare Physician Fee Schedule proposed rule: A look at telehealth provisions and overall payment rate changes
Clinicians will be able to seek payment for providing mental health visits to Medicare beneficiaries via audio-only telehealth, according to newly proposed regulations from CMS.
A closer look at the new surprise billing regulations: How cost sharing will be calculated
The qualifying payment amount that establishes a patient's cost sharing for out-of-network care also is intended to factor into negotiations between providers and health plans regarding payment.