The “dystopian” state of primary care
Dr. Vishnukamal Golla discusses the challenges facing primary care physicians and their patients. News team Nick Hut and Shawn Stack provide an update on the Change Healthcare cyberattack and other current events.
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…
Payer trends health systems should watch closely in 2024
Health system leaders focused on the day-to-day needs of their organization can sometimes lose sight of key developments in other sectors of healthcare. But in an interconnected healthcare ecosystem, understanding the trendlines their payer counterparts are facing is essential. Threats to payers While some health system leaders might be under the impression that payers are…
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…
The federal policy response to the Change Healthcare cyberattack
Note: This information is excerpted from HFMA’s running coverage of the cyberattack that disabled operations at Change Healthcare. On March 10, HHS and the Department of Labor sent a letter encouraging commercial payers to do their part to help financially strained providers nearly three weeks after the cyberattack on Change Healthcare. “Larger payers in particular…
Compassionate crusade: The role of healthcare in addressing homelessness
Homelessness poses a daunting national challenge. And the challenge worsened as a result of the pandemic, rising from roughly 582,000 people in 2022 to more than 653,000 people in 2023.a Clearly, keeping homeless people out of the ED is a pivotal goal in the battle against homelessness. But it is one that health systems cannot…
While increasing revenue is a top goal for 2024, improving the patient experience is a close second — specially for large health systems: HFMA poll
In a recently conducted survey, 70% of 92 respondents said increasing revenue is a top priority in 2024 followed by improving the patient experience (60%) and reducing costs (55%). Review other key findings in this research report.
Ken Perez: Assessing the U.S. response to the healthcare needs of migrants and asylum seekers
Immigration, for decades one of the most politically charged issues in the United States, is emerging as a top issue during this election year. A poll of 1,074 U.S. adults conducted Nov. 30-Dec. 4, 2023, found that immigration ranked as the fourth-highest priority for 2024, with 35% of those surveyed indicating that they want the…
New rule on Medicaid DSH payments will impose stricter limits on many hospitals
Numerous hospitals that receive Medicaid disproportionate share hospital (DSH) payments face a tighter cap on their payment amounts after the Feb. 23 publication of a CMS final rule. The regulations were spawned by 2020 year-end legislation that made changes to the DSH hospital-specific limit (HSL), including with respect to how third-party payments factor into the…
Site-neutral payment has backing in healthcare policy circles, but its efficacy as a cost restraint is unclear
The concept of site-neutral payment continues to receive support from members of Congress and healthcare policy analysts, as demonstrated during a recent hearing. The Jan. 31 hearing of the House Energy and Commerce Committee’s Health Subcommittee was intended, in part, to promote pending legislation that would strengthen price transparency and implement other policies designed to…