Supporters of releasing privately negotiated health plan rates dominate public comments
Supporters of a proposal for hospitals to release their health plan-negotiated rates, so far, have dominated comments on it to CMS.
Analysis: How a union’s plan could foreshadow changes in maternity care nationwide
HFMA’s Chad Mulvany reviews why he expects more employers to follow the lead of Local 32BJ’s and state Medicaid programs and implement both episodic payment models for pregnancy and non-payment for elective, pre-term C-sections.
Analysis: Proposed negotiated-rate posting requirements from the OPPS rule
HFMA's Chad Mulvany offers insight into the major issues associated with CMS’s proposed new requirement for hospitals to post negotiated rates.
Strategic Financial Planning Summer 2019 Issue
Read the Summer 2019 issue of Strategic Financial Planning.
University of Rochester: Using telemedicine to reach more patients with Parkinson’s disease
An academic medical center’s efforts to bring telemedicine to patients with Parkinson’s disease has reduced costs and improved outcomes.
Enrollment of large-company workers in high-deductible plans reaches a historic high
The share of covered workers enrolled in high-deductible health plans (HDHPs) at large employers reached 47% in 2019.
Provider Risk Readiness Report
The results of a May 2019 HFMA study about risk readiness in which hospital and health system senior financial leaders share insights on their organizations’ risk capabilities and tolerance.
The price of precision medicine: 3 ways for health plans to manage genetic-testing costs
With spending on genetic testing expected to grow significantly, health plans can use three steps to get a handle on costs.
A look at early hospital concerns over the proposed release of negotiated charges
National hospital advocates, individual executives and an industry adviser identified early concerns with the proposed mandatory release of hospital-negotiated charges.
OPPS rule to bring many hospital financial challenges — and a little help
The long-awaited Medicare proposed rule for hospital outpatient payments includes a high-profile mandate on hospitals to release rates negotiated with commercial health plans, among other regulations that could pose financial challenges. Several smaller provisions could help hospitals.