Telehealth helped chronically ill during pandemic but their access to care worsened: CDC
Many chronically ill sought telehealth care during the pandemic, even as they reported worse care access, according to a CDC survey.
Looking beyond CMS: How to accelerate the transition to value in healthcare
HFMA's Chad Mulvany summarizes a blog on actions CMS and Congress can take to transition providers to capitated and other risk-bearing payment models.
Employers pivot from value-based payment to virtual care amid the pandemic
Employer-sponsored health plans are pausing value-pay expansions in favor of adding virtual care options in response to the COVID-19 pandemic, according to a business group survey..
Hospitals with health plans have gotten a financial boost during the pandemic
Hospitals with provider-sponsored health plans have obtained a financial cushion to offset the steep losses from the coronavirus pandemic on the provider side.
As the COVID-19 situation improves in Maryland, hospitals not immune to losses
Maryland hospitals suffered COVID-19 volume losses, but they say the state’s unique all-payer rate-setting system mitigated the situation to a degree.
Regional differences emerge in hospital volume recovery from COVID-19
Hospitals in the Mid-Atlantic have struggled the most to recover outpatient volumes as patient fears linger in the wake of the COVID-19 pandemic.
‘Carve outs’ among keys in managed care negotiations
Carve outs are a critical tool hospitals should use in negotiations with health plans to ensure the costs of more expensive conditions are covered.
Implement these 6 safeguards against fraud accusations in telehealth
Healthcare providers should take care to comply with payer policies around telehealth.
Hospitals scramble to meet price transparency requirements after court decision
Hospitals have a lot of costly work to do to meet CMS requirements to publicly post the rates they negotiate with health plans.
As states anticipate Medicaid shortfalls, hospitals urge Congress to bolster commercial plan enrollment
Hospitals are emphasizing steps to boost commercial health plan enrollment over Medicaid enrollment.