Health Plan Resources

A collection of resources to help health plan leaders navigate the challenges and opportunities in this new era of health care.

Resources

Blog | Managed Care

State public option efforts waiver in face of the COVID-19 pandemic
HFMA's Chad Mulvany says although COVID-19 may have "dampened enthusiasm" for Washington state's public option, he is not sure the blame for its slow start rests solely, or even partly, on COVID-19.
By Chad Mulvany, FHFMA
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Blog | Medicaid Payment and Reimbursement

Medicaid provider rate cuts forecast as states anticipate budget shortfalls

Because the CARES Act prohibits states that received increased funding from cutting benefits, increasing premiums or restricting eligibility, one of the few available options to reduce costs is making provider rate cuts.
By Chad Mulvany, FHFMA
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Course | Advanced | Payment Trends

Healthcare Finance: The Big Picture
Next to national defense, the healthcare industry in the United States is one of the largest sectors of the economy. Currently making up almost 20 percent of the nation's gross domestic product, health care in the U.S. will be a significant...
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News | Medicare Payment and Reimbursement

Moody’s projects cash will be stable for rated hospitals through the summer
Federal assistance programs should stabilize hospital cash through the summer, when Medicare repayments will create major financial pressure.
By Rich Daly, HFMA senior writer and editor
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News | Value-Based Payment

May 18-22: Virtual summit on state of the healthcare ecosystem post-coronavirus is among a slew of online-only events in healthcare finance
A complete listing of healthcare finance-related hearings, conferences, webinars, public forums and deadlines for the week of May 18.
By Rich Daly, HFMA senior writer and editor
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News | Medicare Payment and Reimbursement

New hospital price transparency requirements included in IPPS proposed rule
CMS wants hospitals to start reporting median health plan payment rates and may use the information to help determine Medicare rate changes.
By Rich Daly, HFMA senior writer and editor
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Blog | Managed Care

State public option efforts waiver in face of the COVID-19 pandemic
HFMA's Chad Mulvany says although COVID-19 may have "dampened enthusiasm" for Washington state's public option, he is not sure the blame for its slow start rests solely, or even partly, on COVID-19.
By Chad Mulvany, FHFMA
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Blog | Medicaid Payment and Reimbursement

Medicaid provider rate cuts forecast as states anticipate budget shortfalls

Because the CARES Act prohibits states that received increased funding from cutting benefits, increasing premiums or restricting eligibility, one of the few available options to reduce costs is making provider rate cuts.
By Chad Mulvany, FHFMA
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Blog | Innovation and Disruption

Is another health plan featuring virtual PCPs as primary access point a sign of things to come?
HFMA's Chad Mulvany questions if the recent expansion of telehealth could stimulate a trend of plans offering virtual PCPs as the primary care access point.
By Chad Mulvany, FHFMA
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