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.
Q&A: Humana expands value-based payment push
One MA health plan discusses how it’s pushing further into value-based payment and what that means for providers.
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 get relaxed Medicare repayment terms, short delay of DSH cut in federal funding bill
Hospitals will get some flexibility in the repayment of Medicare advance payment loans and a delay in uncompensated-care payment cuts under a new federal funding law.
Major insurers roll back no-cost sharing telehealth services
HFMA's Chad Mulvany says patients who received a surprise bill for a telehealth visit will likely blame the provider.
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.
Cigna’s 2021 strategies highlight MA trends and the resulting effects on providers
One MA health plan discusses how it’s changing its Medicare Advantage plans in response to market trends, the pandemic, social determinants of health and Medicare policies.
Congress alters the terms for Medicare loans
Recently passed legislation relaxes terms of the Medicare Advanced and Accelerated Payment Program loans for hospitals and and other providers.
How to lay the foundations for success under CMS’s new MDC program
The CMS Medicare Direct Contracting (MDC) program offers hospitals and health systems a unique opportunity take the next step in value-based payment and population health management. Success requires the right targeted investments in expertise and infrastructure.
More policymaking likely as the 2020 presidential election approaches
HFMA's Chad Mulvany says given the Trump administration’s focus on transparency, it’s possible the Transparency in Coverage final rule could be released prior to the election.