Medicare Payment and Reimbursement

May 4-8: CMS webinars are among a slew of online-only events in healthcare finance

A complete listing of healthcare finance-related hearings, conferences, webinars, public forums and deadlines for the week of May 4.

By Rich Daly August 16, 2021

FY22 rule for the Inpatient Prospective Payment System finalizes a payment increase and key policy updates

The base payment increase for hospital inpatient services in FY22 will be 2.5%, according to a final rule issued by CMS.

By Nick Hut August 3, 2021

Latest hospital readmissions data highlight the challenges posed by septicemia

For all diagnoses across payers, researchers reported a 30-day readmission rate of 14% and an average cost per readmission of $15,200.

By Nick Hut July 30, 2021

Hospital-at-home programs are gaining traction and have well-documented benefits, experts say

A Medicare waiver issued in late 2020 has spurred more health systems to implement home-care programs for acute conditions.

By Nick Hut July 30, 2021

ACO leaders support new bill designed to boost participation in value-based payment

Accountable care organizations stand to benefit from a new bill that would increase investment funding and make changes to federal ACO programs, several executives said.

By Nick Hut July 26, 2021

Hospital care at home signifies an important innovation in acute care delivery

Although the CMS Acute Hospital Care at Home program is still early in its development in the U.S., early adopters show evidence of the program’s exciting promise, including positive impacts on health outcomes, an improved patient and provider experience, reduced cost of care and overall healthcare savings.

By Shawn Stack July 23, 2021

In 2022 OPPS rule, CMS plans to reinstate policies pertaining to the inpatient-only and ASC covered-procedures lists

The 2022 proposed rule for the Outpatient Prospective Payment System would reverse 2021 policies that began to phase out the inpatient-only list of procedures and expand the covered-procedures list for ambulatory surgical centers.

By Nick Hut July 21, 2021

CMS is preparing to make noncompliance with price transparency requirements much more expensive

A hospital with at least 550 beds would owe more than $2 million in penalties for a year of noncompliance with new price transparency requirements, according to a proposed rule.

By Nick Hut July 20, 2021

CMS’s 2022 Medicare Physician Fee Schedule proposed rule: A look at telehealth provisions and overall payment rate changes

Clinicians will be able to seek payment for providing mental health visits to Medicare beneficiaries via audio-only telehealth, according to newly proposed regulations from CMS.

By Nick Hut July 15, 2021

Newer payment models should be part of holistic transformation efforts, CMS deputy administrator says

Healthcare industry stakeholders can expect a new approach to how federal payment models are formulated, as a newly released rule for Medicare coverage of kidney care illustrates.

By Nick Hut July 9, 2021
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