Medicare Payment and Reimbursement

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.

CMS’s new BPCI-A model incorporates patient complexity into the risk-adjustment mechanism, but it remains to be seen if it will solve all issues with the previous model.

Provider participation in the largest Medicare voluntary bundled payment program surged in its third year.

The change in CMMI leadership could mean long-anticipated models are released, and may signal more emphasis on palliative care in future models based on Brad Smith’s background.