Payment Reimbursement and Managed Care

The federal policy response to the Change Healthcare cyberattack

Note: This information is excerpted from HFMA’s running coverage of the cyberattack that disabled operations at Change Healthcare. On March 10, HHS and the Department of Labor sent a letter encouraging commercial payers to do their part to help financially strained providers nearly three weeks after the cyberattack on Change Healthcare. “Larger payers in particular…

Nick Hut March 14, 2024

Responses to a new RFI will help guide regulations addressing consolidation and private equity in healthcare

The Biden administration is ramping up its assessment of how to regulate consolidation and private equity (PE) acquisitions in healthcare, issuing a request for information (RFI) from stakeholders. There is a deadline of May 6 to submit comments on the RFI, which was distributed by HHS, the Department of Justice (DOJ) and the Federal Trade…

Nick Hut March 13, 2024

Cyberattack on Change Healthcare brings turmoil to healthcare operations nationwide

Editor’s note: If you are an HFMA member from a provider organization, consider submitting a request to join the Change Healthcare Business Continuity Workgroup (https://community.hfma.org/change-healthcare-workgroup/). Information about future calls, mitigation strategies and industry updates will be shared in this group. HFMA welcomes participants to use the discussion forum to address challenges and explore solutions with…

Nick Hut March 13, 2024

Medicaid DSH Third-Party Payer Final Rule Summary

HFMA presents a detailed summary of the final rule issued by CMS addressing legislative changes to the hospital- specific limit on Medicaid disproportionate share hospital payments that took effect on October 1, 2021, as a result of the Consolidated Appropriations Act 2021.

HFMA March 11, 2024

Federal funding legislation would address Medicaid DSH cuts, physician payments and more

March 8 update The Senate passed the appropriations bill by a 75-22 vote, getting it to the White House for President Joe Biden to sign hours before funding for some federal departments would have expired and a big cut to Medicaid disproportionate share hospital payments would have begun. Attention now turns to HHS and other…

Nick Hut March 6, 2024

Continued 340B eligibility is at risk for hundreds of hospitals thanks to pandemic-related factors

Hospitals that rely on savings from the 340B Drug Pricing Program should examine the possibility that they will soon be rendered ineligible. Several factors are having an industrywide impact on the disproportionate share hospital adjustment percentage, and if that tally drops below a certain threshold on a hospital’s Medicare cost report, the hospital cannot receive…

Nick Hut March 1, 2024

The importance of digital transformation in a fraudulent environment

In this recently conducted survey, more than 85% of responding hospital financial executives said they are somewhat concerned (65.96%) or very concerned (19.15%) about potential AI-influenced fraud, including account takeovers and eventually payment fraud.

HFMA February 29, 2024

How digital patient engagement solutions can help healthcare organizations improve their existing revenue cycle

This roundtable features various healthcare professionals who breakdown what digital patient engagement solutions are being implemented and how this not only empowers patients, but also helps organizations looking to improve their existing revenue cycle.

HFMA February 29, 2024

Healthcare Finance Trends for 2024

Download this eBook to see details of the 10 financial trends that will shape 2024 for hospitals and health systems across the country.

HFMA February 28, 2024

Healthcare Blame Game: Bloomberg Philanthropies puts $250 million into educating new healthcare workers while Patient Rights Advocate spends on spreading misinformation

Chad Mulvany, vice president of federal policy for the California Hospital Association and former HFMA policy director, discusses Bloomberg Philanthropies $250 million investment in the future healthcare workforce, as well as what will actually move the needle on price transparency.

Erika Grotto February 26, 2024
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