Cigna’s 2021 strategies highlight MA trends and the resulting effects on providers
One MA health plan discusses how it’s changing its Medicare Advantage plans in response to market trends, the pandemic, social determinants of health and Medicare policies.
HFMA issues updated patient bill payment guidelines amid pandemic, public pressure
HFMA recently updated its industry guidelines on billing dispute resolution practices in response to the financial challenges of the pandemic and public pressure.
In a ‘setback,’ hospital margins, volumes decreased
Hospitals' financial recovery took a step backward in August, according to a monthly report.
Mandatory Medicare ESRD model to launch in January 2021
A mandatory model for 30% of the clinicians and facilities treating kidney failure will launch Jan. 1.
Deductibles rising, underinsurance rates worsening in individual coverage, survey finds
Deductibles and underinsurance are increasing among those with individual-market coverage.
ED, inpatient volumes have stagnated since June, analysis finds
Hospitals’ ED and inpatient volumes have not improved since the June surge in patients following the resumption of most hospital services after COVID-19 service suspensions were lifted.
Amid the pandemic, cost control becomes hospitals’ top benefits-related focus, survey finds
Health systems have prioritized cost control in their personnel offices in response to the pandemic’s revenue impacts, a new survey found.
CMS drops MFAR, launches Medicaid value-based payment push
CMS drops MFAR, launches Medicaid value-based payment push.
As states tweak Medicaid programs, enrollment increases fall far short of job losses
Medicaid enrollment increases have lagged far behind unemployment increases but are still pressuring states facing a budget squeeze during the recession.
Big Medicare bundled payment changes could cut participation, advisers say
Most BPCI-A participants will see major changes in 2021 ahead of a mandatory model in 2024, CMS says.