RAND report finds regulating hospital prices would be the most effective way to reduce healthcare spending, but are the proposals viable?
The American Hospital Association had a negative reaction to study findings showing that regulation of hospital prices would be the most effective way to reduce prices paid by commercial insurers.
Hospital groups ask Supreme Court to reverse payment cuts to 340B hospitals, off-campus provider-based departments
The American Hospital Association and other hospital groups are challenging 2020 appeals court decisions that allow HHS to continue slashing payments to 340B hospitals and to off-campus provider-based departments.
Biden’s order to reopen the ACA marketplaces next month draws praise from hospitals
An executive order by President Joe Biden directed HHS to open the Affordable Care Act marketplaces for three months starting in mid-February.
Employers seek shelter from healthcare cost increases in public option
If plans and providers can’t collaborate to control healthcare cost, employers will look to the government to do so.
Post-election Washington policy outlook on health policy priorities
HFMA's Chad Mulvany speculates on health policy priorities and changes in the next 24 months, assuming we continue to have a divided government and President-elect Biden's campaign survives President Trump's many legal challenges about state vote counts.
Analysis: Providers should prepare for reductions in Medicare and Medicaid spending as federal deficit swells
Given the role both Medicare and Medicaid spending play in current and projected federal deficits, spending on both will eventually need to be reduced.
Medicare Advantage concepts come to Medicare fee-for-service with Geographic Direct Contracting Model
While the MA Stars Rating program is a bonus program where plans can earn additional revenue for achieving high scores, quality in the Geographic Direct Contracting program is treated more like a penalty, says HFMA's Chad Mulvany.
Connecticut’s launch of a bundled payment program for its employee health plan is part of an effort to save the state $185 million | HFMA
HFMA’s Chad Mulvany says some state governments, like Connecticut, have high enough volumes that COVID-19 may accelerate their adoption of value-based payment models.
5 tips to safeguard 20% payment increase for treating patients with COVID-19
Healthcare organizations should be careful to ensure their practices don't put their COVID-19 payments at risk.
CMMI releases interim final rule detailing the payment model for separately payable Part B drugs
HFMA's Chad Mulvany says it is likely drug manufacturers will sue to stop the rule, and they may have several strong legal arguments that would at least delay, if not overturn the rule.