Medicare Payment and Reimbursement

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

Physicians score well in Quality Payment Program but receive little for it

HFMA's Chad Mulvany says the Merit-based Incentive Payment System (MIPS) program needs to be simplified to allow all providers to participate without it being overly burdensome.

By Chad Mulvany, FHFMA November 5, 2020

For hospitals, Biden’s healthcare policies include many unknowns

Presidential front-runner Joe Biden has far-reaching healthcare policy proposals, but many details and outcomes remain unknown.

By Rich Daly November 3, 2020

CMS finalizes requirement for hospitals to report MA plan rates

In the FY21 IPPS final rule, CMS expanded controversial negotiated-price reporting requirements.

By Rich Daly November 2, 2020

A murky step in the right direction: HHS releases updated CARES Act Provider Relief Fund guidance

HHS, in a recent update, partially reverts back to the June 19 FAQs, which based the amount of PRF a provider is entitled to on lost revenue as opposed to its switch to lost margin in the Sept. 19 guidance.

By Chad Mulvany, FHFMA November 1, 2020

Donations by hospitals and their employees heavily favor Biden, Democrats

Hospitals have leaned toward Biden and Democrats in their 2020 campaign giving, according to election records.

By Rich Daly October 28, 2020

Providers should prepare for a possible expansion of Medicare site-neutral policies

HFMA’s Chad Mulvany says if the CY2021 OPPS rule is finalized as proposed without significant modifications to CMS's MS-DRG weight-setting process, it heightens the need for hospitals to expand outpatient/ASC capacity and continue aggressive cost management.

By Chad Mulvany, FHFMA October 22, 2020

Medicare readmissions reduction program penalizes hospitals inaccurately, study finds

The hospital readmissions reduction program incorrectly penalizes hundreds of hospitals, according to new research.

By Rich Daly October 22, 2020
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