340B cuts, inpatient-only elimination lead hospitals’ OPPS concerns
Proposed OPPS cuts for 340B hospitals and outpatient payment changes drew the most concerns from hospitals and advocates.
Proposed change to Medicare E/M payment leads to disagreement among both providers and health plans
Medicare physician payment changes for evaluation and management could have dire financial repercussions for some practices, providers warn.
Hospitals to lose Medicare, Medicaid access in 14 weeks if they don’t meet daily reporting requirements
Hospitals will have 14 weeks to meet daily data-reporting requirements related to COVID-19 and the flu or face termination from Medicare and Medicaid.
HFMA provides insight into 3 key areas of CMS’s 2021 IPPS final rule
HFMA's Chad Mulvany offers insight on key areas of the Inpatient Prospective Payment Service final rule, including market-based MS-DRG weights, Uncompensated Care DSH and Medicare bad debt requirements.
CMS finalizes requirement for hospitals to report MA plan rates
Majority of nursing homes are operating at a loss, survey finds
The majority of nursing homes are operating at a loss and three-quarters expect to run out of operating funds within a year, according to a new survey.
Hospital groups demand withdrawal of new requirement to report COVID-19 data
Hospital groups urged CMS to withdraw a new rule to require several COVID-19-related reporting steps from hospitals.
OPPS proposed rule would eliminate ‘inpatient only’ list of procedures
The CY21 OPPS proposed rule would eliminate the inpatient-only list of services over three years while increasing the number of ASC-eligible procedures, and also would increase 340B payment cuts and overhaul the hospital star-rating system.
Possible compromise in hospital price disclosure fight
While the Trump administration prevailed in the first round of the lawsuit challenging its price transparency policy, the American Hospital Association has indicated it will appeal the ruling.
New hospital price transparency requirements included in IPPS proposed rule
CMS wants hospitals to start reporting median health plan payment rates and may use the information to help determine Medicare rate changes.