Contracting

News Briefs: 2023 brings a steep fee hike for No Surprises Act arbitration cases

The No Surprises Act’s independent dispute resolution (IDR) process has become more expensive for healthcare stakeholders. For the new year, the nonrefundable administrative fee due from each party involved in any payment dispute that goes to arbitration increased from $50 to $350, according to a Dec. 23 memo from CMS’s Center for Consumer Information and…

Nick Hut January 27, 2023

Key points to know in recently proposed rules for Medicare Advantage and the ACA marketplaces

A proposed rule for health plans in Medicare Advantage has provisions designed to stem overreach in prior authorization processes.

Nick Hut January 20, 2023

Most healthcare organizations want to augment current EHR workflows and would consider flexible outsourcing contracts

This pulse survey shows that there is no one-size-fits-all solution for managing today’s revenue cycle challenges. Savvy healthcare organizations know they need a combination of actionable insights and high-performance work teams to be successful.

HFMA December 1, 2022

Healthcare News of Note: Long COVID may affect a minimum of 10 million working-age adults

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Long COVID could impact healthcare coverage for many, the national uninsured rate reaches an all-time low, and more nurses are planning on leaving the profession.

Deborah Filipek August 23, 2022

News Briefs: Hospital labor costs rose by almost 40% between 2019 and early 2022

As published in hfm magazine, a monthly roundup of top news for healthcare finance professionals.

Nick Hut May 27, 2022

Hospital prices increasingly are coming under a microscope

Newly issued reports and policy recommendations are examining hospital prices in the context of high healthcare costs.

Nick Hut May 20, 2022

2023 regulations for Medicare Advantage and ACA marketplaces seek to enhance network adequacy standards

HHS and CMS recently released sets of 2023 regulations that affect provider network adequacy standards in Medicare Advantage and the Affordable Care Act insurance marketplaces.

Nick Hut May 9, 2022

Healthcare pricing update: 2 experts call for greater regulation

Recent price increases have been slower in healthcare than in the economy at large, but two healthcare economists say the long-term price trends should be addressed through regulation.

Nick Hut March 12, 2022

How to create an employer-friendly healthcare center of excellence

Increasing health expenditures and the pressures of the recent pandemic have contributed to the development of a new type of center of excellence (COE), called the future-state COE, which is designed to better address the needs of large employers. This COE model incorporates value-based contracting and a strong incentive design into a service-line strategy to create employee health programs that benefit employers, patients and providers alike.

Kathy Najarian December 22, 2021

News Briefs: CMS plans to reinstate policies pertaining to the inpatient-only and ASC covered-procedures lists

A roundup of the top news affecting healthcare finance professionals.

Nick Hut August 27, 2021
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