Medicare Payment and Reimbursement

Stark, Anti-Kickback changes draw praise from providers

Final rules modifying enforcement of the Stark Law and the Anti-Kickback Statute aim to remove barriers to participation in value-based payment models.

By Rich Daly December 1, 2020

HHS Provider Relief Fund clarifications provide much-needed information

Several clarifications related to the treatment of depreciation, expenses for stockpiling PPE and revenue to the HHS Provider Relief Fund (PRF) FAQs were released Nov. 18 by the U.S. Department of Health & Human Services.

By Chad Mulvany, FHFMA November 24, 2020

CMMI releases interim final rule detailing the payment model for separately payable Part B drugs

HFMA's Chad Mulvany says it is likely drug manufacturers will sue to stop the rule, and they may have several strong legal arguments that would at least delay, if not overturn the rule.

By Chad Mulvany, FHFMA November 24, 2020

Providers urge Congress to act quickly on COVID-19 assistance, value-based payment

Hospitals and other providers are urging the lame-duck Congress to provide more COVID-19 provider relief and to tweak rules for physicians in value-based payment models.

By Rich Daly November 22, 2020

Could value-based payment be used to shore up the Medicare trust fund?

September estimates that the Medicare hospital trust fund will be insolvent by 2024 could mean value-based payment will play a role in buttressing the fund.

By Rich Daly November 17, 2020

HHS seeks hospitals to administer new COVID-19 treatment

HHS is hoping hospitals will help administer a new COVID-19 treatment to non-hospitalized patients with the disease.

By Rich Daly November 12, 2020

How a lame-duck Congress could affect hospital finances

The existing Congress and the Trump administration could take a range of steps in the coming weeks that would have major financial ramifications for hospitals.

By Rich Daly November 11, 2020

Hospitals lead October job gains in healthcare sector

Hospitals were the biggest gainer in October jobs among healthcare organizations, although they have not restored all jobs shed earlier this year.

By Rich Daly November 10, 2020

COVID-19 exacerbates bankruptcy for at-risk hospitals

HFMA's Chad Mulvany says there will be a greater number of hospital bankruptcies the longer Congress and the administration dither on additional relief to providers and if more providers have to reduce the volume of non-emergent services due to spiking COVID-19 cases.

By Chad Mulvany, FHFMA November 9, 2020

COVID-19 interim final rule focus: Increased Medicare payment for qualifying COVID-19 treatment

HFMA's Chad Mulvany says HFMA believes CMS should modify the NCTAP payment as HFMA is concerned that payment methodology will not cover the cost of qualifying new COVID-19 treatments provided to Medicare beneficiaries.

By Chad Mulvany, FHFMA November 6, 2020
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