Medicare Payment and Reimbursement

A complete listing of healthcare finance-related hearings, conferences, webinars, public forums and deadlines for the week of Jan. 6.

A payment model in which 100% of payments are based on Medicare rates should take into account the inherent disadvantages of such an approach for the large hospitals, including academic medical centers, that provide most Medicare outlier cases.

If a payment model that bases payment on Medicare rates is adopted, CFOs should prepare for its financial implications by implementing a modified benchmarking system that accounts for outliers.

A payment model under which 100% of payments are based on Medicare rates r\aises important questions of how to fund such a plan.

The Trump administration signaled its federal healthcare spending priorities in its proposed annual budget, which includes a slew of hospital cuts.

Any objective analysis of Elizabeth Warren’s proposal for Medicare for All should consider its enormous societal and federal costs, and its likely impacts on the health insurance industry and hospitals.

HFMA’s Chad Mulvany provides a list of Medicare and Medicaid regulatory payment impacts to consider when developing budgets.

A complete listing of healthcare finance-related hearings, conferences, webinars, public forums and deadlines for the week of Jan. 27.

For 2021, MedPAC has recommended that hospitals’ Medicare rates increase 2%, plus a potential 0.8% quality bonus and elimination of a 0.5% quality cut.

BESLER talks about its Transfer DRG revenue recovery service that helps hospitals recover monies they have rightfully earned while maintaining compliance.