Medicare Payment and Reimbursement

CMS’s overhaul of the Direct Contracting program draws praise from supporters of value-based payment

Value-based payment advocates see reason for optimism in CMS’s recent decision on the future of its Direct Contracting model.

By Nick Hut March 4, 2022

For some 340B hospitals, the COVID-19 pandemic has brought an unanticipated and unwelcome loss of eligibility

Bringing longer stays and higher rates of deferred care, the COVID-19 pandemic is adversely affecting 340B eligibility for some hospitals.

By Nick Hut February 21, 2022

Medicare’s much-hyped Direct Contracting model faces an uncertain future

Medicare’s Direct Contracting model, touted as representing the evolution of alternative payment models, could be shelved less than a year after getting started.

By Nick Hut February 16, 2022

Healthcare News of Note: Amazon Care’s virtual health services are now available nationwide, and in-person care services are launching in more than 20 new cities in 2022

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Amazon Care plans to expand in-person care to 20+ new cities in 2022, GAO raises concerns about HHS’s leadership and coordination of public health emergencies, and a new study shows more physicians suffered burnout in 2021 than in 2020.

By Deborah Filipek February 11, 2022

Senate panel discusses ways to address Medicare financing — and the consequences of not acting

Medicare Part D and Medicare Advantage could be prime targets as Congress seeks to shore up the Hospital Insurance Trust Fund before it becomes insolvent in 2026 as projected.

By Nick Hut February 9, 2022

340B advocacy group releases survey results showing the financial toll of drug manufacturers’ curbs on discounts

Among hospitals participating in the 340B Drug Pricing Program, a new report finds that steps taken by drug manufacturers to restrict discounts have had a significant impact.

By Nick Hut February 2, 2022

News Briefs: Supreme Court ruling allows the COVID-19 vaccine mandate for healthcare workers to proceed

A roundup of top news stories for healthcare finance professionals.

By Nick Hut February 1, 2022

Healthcare News of Note: McKinsey analyzes a range of scenarios based on the infectiousness, immune evasion and severity of disease linked to the omicron variant

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: An in-depth analysis looked at what the U.S. can expect with the onslaught of the omicron variant, CMS rescinded a drug pricing model, and total healthcare utilization in 2020 dipped below 2019 levels.

By Deborah Filipek January 28, 2022

Survey: Health systems push toward risk-based payment models, payer-provider partnerships

Check out the key takeaways from a survey conducted in Summer 2021 with healthcare executives, which focused on risk-based models, data issues, leaders’ concerns on hitting budgets and more.

By Crystal Milazzo January 28, 2022

Hospitals need federal support to handle the ongoing staffing and financial crunch, industry leaders say

The hospital industry issued its latest plea for additional federal help to mitigate the financial and operational strain of COVID-19, including surging staffing costs.

By Nick Hut January 26, 2022
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