Health Plan Resources

The U.S. healthcare industry is undergoing a reframing to correct glaring problems, said clinical executive Zeev Neuwirth during the opening keynote presentation of HFMA’s 2022 Annual Conference.

In separate cases, the Supreme Court said HHS’s formula for determining DSH payments is statutorily correct and that health plans can limit outpatient dialysis coverage.

In a 9-0 ruling, the Supreme Court said CMS didn’t have the authority to lower drug reimbursement amounts for 340B hospitals as it did in 2018 and 2019.

Study results indicate that ongoing litigation over the independent dispute resolution process established by the No Surprises Act may not have a major impact on outcomes.

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: A new study shows the patient experience worsened mid-pandemic, researchers are using machine learning to discover more about long-COVID, and...

Medicare Advantage processes related to prior authorization hamper beneficiaries’ access to medically necessary care, according to a new report from the HHS Office of Inspector General.