Health Plan Payment and Reimbursement

Healthcare News of Note: Americans have less confidence in the nation’s healthcare system

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Confidence in the U.S. healthcare system dips again, the median proposed health insurance premium increase for 2023 is about 10%, and improved oral care in hospitals can prevent pneumonia.

Deborah Filipek August 1, 2022

As revenue cycle challenges accumulate, a new survey suggests hospitals are taking a closer look at automation

For hospitals and health systems, survey results show that the ongoing labor crunch in revenue cycle operations has provided an impetus to expand process automation.

Nick Hut July 29, 2022

In an inflationary environment, pending Medicare payment updates don’t measure up

Consumer-focused inflation numbers aren’t as significant in healthcare as in other sectors, but prices are hampering hospitals and health systems.

Nick Hut July 25, 2022

Providers lose pair of Supreme Court decisions, including a case about disproportionate share hospital payments

In separate cases, the Supreme Court said HHS’s formula for determining DSH payments is statutorily correct and that health plans can limit outpatient dialysis coverage.

Nick Hut June 26, 2022

Texas-based study raises questions about impact of using additional criteria in No Surprises Act arbitration cases

Study results indicate that ongoing litigation over the independent dispute resolution process established by the No Surprises Act may not have a major impact on outcomes.

Nick Hut June 22, 2022

Insurer groups issue report showing the No Surprises Act’s early impact on patient billing

More than 2 million potential surprise medical bills were prevented during the first two months of the No Surprises Act, according to the health insurance lobby.

Nick Hut June 7, 2022

News Briefs: Hospital labor costs rose by almost 40% between 2019 and early 2022

As published in hfm magazine, a monthly roundup of top news for healthcare finance professionals.

Nick Hut May 27, 2022

Hospital prices increasingly are coming under a microscope

Newly issued reports and policy recommendations are examining hospital prices in the context of high healthcare costs.

Nick Hut May 20, 2022

2023 regulations for Medicare Advantage and ACA marketplaces seek to enhance network adequacy standards

HHS and CMS recently released sets of 2023 regulations that affect provider network adequacy standards in Medicare Advantage and the Affordable Care Act insurance marketplaces.

Nick Hut May 9, 2022

Big delays could be in store for early No Surprises Act arbitration cases

The portal for payment arbitration cases taking place under the No Surprises Act is open for business but could be facing a backlog of cases.

Nick Hut May 9, 2022
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