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How healthcare providers can break down barriers to effective data governance

Promoting improved data governance in the hospital and health system sector has become a just cause of sorts for Randy Albert, who serves as vice president of finance – operations and analytics at Maine-based Northern Light Health and is a member of HFMA’s Northern New England Chapter. “This is a topic that I’m incredibly passionate…

Nick Hut January 27, 2023

News Briefs: 2023 brings a steep fee hike for No Surprises Act arbitration cases

The No Surprises Act’s independent dispute resolution (IDR) process has become more expensive for healthcare stakeholders. For the new year, the nonrefundable administrative fee due from each party involved in any payment dispute that goes to arbitration increased from $50 to $350, according to a Dec. 23 memo from CMS’s Center for Consumer Information and…

Nick Hut January 27, 2023

CVS Health pushes forward with efforts to reshape segments of the healthcare industry

About two decades after adding the first three MinuteClinics to its stores, in 2005, CVS Health continues to grow as one of the biggest disruptors in healthcare. The company has embarked on a series of strategic transactions that make it a major player across an increasingly large swath of the industry, as described this month…

Nick Hut January 27, 2023

Hospitals have options for effectively managing complicated reimbursements

How can health systems and patients both win when it comes to payment? Read this article to learn how hospitals can maximize collections and get paid for provided services on top of how patients can identify source of payment that is not out of pocket.

HFMA January 26, 2023

During a potentially tumultuous Congress, healthcare stakeholders should communicate their policy priorities

With the 118th Congress bringing the potential for policy upheaval, one of the best things healthcare stakeholders can do is make themselves heard on Capitol Hill. The new Republican majority in the House of Representatives has signaled its intent to use the federal debt ceiling as leverage in budget negotiations. President Joe Biden and the…

Nick Hut January 24, 2023

How community partnerships can play a central role in reducing cost of care and improving health outcomes

As average rent for a one-bedroom apartment in Chicago soared to nearly $2,000 a month, Illinois-based Cook County Health saw another unfortunate upward trend in housing insecurity and homelessness. That’s when the health system decided to partner with a city housing agency. The goal? To reduce healthcare costs and improve individual healthcare outcomes by connecting…

Lisa A. Eramo, MA January 24, 2023

Key points to know in recently proposed rules for Medicare Advantage and the ACA marketplaces

A proposed rule for health plans in Medicare Advantage has provisions designed to stem overreach in prior authorization processes.

Nick Hut January 20, 2023

International member spotlight: Syed Mairajuddin Shah leveraged healthcare finance skills to enhance his operational leadership

Syed Mairajuddin Shah, MBBS, MCPS, MBA, CHFP, recently spoke with Betty Hintch, HFMA project manager and international enewsletter editor, about his work in healthcare quality and how he is using his recently attained HFMA certifications to further his goals. Shah is chief operating officer for the four secondary hospitals at Aga Khan University Hospital, Karachi,…

HFMA January 19, 2023

Seeking to phase out Medicare DSH payments, MedPAC outlines potential changes to reimbursement for safety net providers

Revamped formulas for hospitals and physicians would be designed to better target payments to providers that treat larger shares of low-income Medicare beneficiaries.

Nick Hut January 18, 2023

Remedies for 340B underpayments remain up in the air after court declines to provide guidance

A federal court is allowing HHS to decide on remedies covering Medicare underpayments to hospitals for 340B drugs.

Nick Hut January 11, 2023
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