News

CMS calls for hospitals to be subject to a new bundled payment model and data-reporting requirements

Notable policies in Medicare’s FY25 proposed rule for inpatient hospital care and long-term care hospitals include the formation of a mandatory bundled payment model and requirements for hospital data reporting. Although the proposed payment rate was the headlining aspect of the rule for hospitals, the policy developments could have a longer-term impact on segments of…

Nick Hut April 16, 2024

Honor Roll: HFMA certifications were awarded to 1,904 members Jan. 1 – March 31, 2024

As of Q1 2024, HFMA offers nine certifications for members to validate their expertise and demonstrate their commitment to the profession, including the newest certification: the Executive of Healthcare Revenue Cycle (EHRC). The HFMA certifications are as follows: Certified Healthcare Financial Professional (CHFP), Certified Revenue Cycle Representative (CRCR), Certified Revenue Cycle Representative (CRCR) – GCC,…

Deborah Filipek April 15, 2024

The Medicaid unwinding continues to pose issues one year in, but healthcare coverage appears stable

The unwinding of Medicaid continuous-enrollment requirements reached the one-year mark this month amid mixed measures of the effect on overall coverage. In one sense, the impact has exceeded all projections. Since states could begin disenrolling Medicaid beneficiaries on April 1, 2023, coverage for more than 19.6 million beneficiaries had been terminated as of April 4,…

Nick Hut April 12, 2024

Hospital advocates bemoan the small Medicare payment increase proposed for FY25

The payment increase described in Medicare’s FY25 proposed rule for acute care and long-term care hospitals falls well short of what hospitals need to keep up with costs, advocates say. The payment rate would rise by 2.6% for hospitals that fulfill quality-reporting requirements and meet the criteria to be designated as meaningful users of electronic…

Nick Hut April 11, 2024

Insurers see reasons for concern as CMS keeps the Medicare Advantage purse strings tight for 2025

Medicare Advantage (MA) faces the prospect of constrained revenue and payments for participating stakeholders after CMS finalized what amounts to a small decrease in the 2025 payment rate. Average revenue for MA plans is projected to increase by 3.7%, or more than $16 billion — but that’s primarily because of a prospective increase in the…

Nick Hut April 4, 2024

Hospital finances are on the upswing, but the toll of the Change Healthcare outage is yet to be seen

Note: The second section of this article was updated where noted with a new comment from Fitch Ratings. There is reason to be optimistic about the state of hospital finances, but the impact of the Change Healthcare cyberattack has added uncertainty to the forecasts. Financial metrics for the first two months of 2024 continued to…

Nick Hut March 28, 2024

The FY24 HHS budget covers key programs for rural hospitals while tightening spending in some areas

The newly passed budget covering HHS during the remainder of FY24 contains notable provisions for healthcare providers. The roughly $117 billion departmental budget for the next six months was set in an appropriations bill that was passed by Congress and signed by President Joe Biden within hours of the March 22 expiration of funding for…

Nick Hut March 25, 2024

Hospitals warrant an extra boost in their Medicare payment rate next year, MedPAC says

Hospitals will get a more favorable Medicare payment increase in FY25 if Congress follows the recommendations of the Medicare Payment Advisory Commission (MedPAC). In its semiannual report to Congress, MedPAC recommended a 1.5% bump on top of what otherwise would be provided according to statute. That would mean an estimated increase of about 4.5% for…

Nick Hut March 22, 2024

Cyberattack on Change Healthcare brings turmoil to healthcare operations nationwide

Highlights April 9: A possible second ransom demand March 28: Issues with transmitting files to and from payers March 26: A list of payer contacts for providers to inquire about advance payments March 22: An update on the restoration of claims submission March 14: An FAQ on Medicare accelerated and advance payments March 6: Recommendations…

Nick Hut March 20, 2024

Navigating healthcare’s cyber crisis: HFMA’s lifeline through the Change Healthcare cyberattack

Regularly scheduled national member calls by HFMA’s Change Healthcare Business Continuity Workgroup and frequent news updates about the continuing impact of the cyberattack on hospitals and health system by senior editor Nick Hut became a lifeline for many HFMA members through mid-March. Regular news updates Hut kept members apprised of developments starting on Feb. 25…

Deborah Filipek March 19, 2024
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