Managed Care

Employers seek shelter from healthcare cost increases in public option

If plans and providers can’t collaborate to control healthcare cost, employers will look to the government to do so.

Chad Mulvany, FHFMA January 22, 2021

July 28-Aug. 2: See what events are coming in healthcare

Stay ahead of healthcare news and developments with this listing of hearings, conferences, webinars, public forums and deadlines for the week of July 28.

Rich Daly January 22, 2021

Aug. 12-16: See what events are coming in healthcare

Stay ahead of healthcare news and developments with this listing of hearings, conferences, webinars, public forums and deadlines for the week of Aug. 12.

Rich Daly January 22, 2021

Healthcare News of Note: Noncompliance with new price transparency rules appears to be common

CMS's auditing of price transparency commpliance and Tennessee's Medicaid block grant program waiver getting approved are two topics in Healthcare News of Note. Also, HFMA revamps its “Voices in Healthcare Finance” podcast.

Deborah Filipek January 15, 2021

Healthcare News of Note: Payers push back on CMS prior-authorization rule

Healthcare News of Note for healthcare finance professionals is a roundup of articles from the past week, including why payers are pushing back on the prior-authorization rule and information on HHS funding to support the nation's response to the COVID-19 pandemic.

Deborah Filipek January 11, 2021

Walmart’s plans to test narrow networks selected on quality could set stage for a shift in employer-sponsored insurance

Walmart plans a ground-breaking test of narrow networks for its employee health plan that will test both enrollee acceptance and physician cooperation.

Rich Daly December 8, 2020

Chronic conditions, other health issues have worsened during the pandemic, physician survey finds

The health of patients, including those with chronic diseases, is worsening during the pandemic, say clinicians.

Rich Daly November 20, 2020

Requirements for drug price information added to final rule on health plan price transparency

Health plans are required by a new final rule to publicly release negotiated rates with all providers and give enrollees out-of-pocket cost information for each.

Rich Daly November 2, 2020

Providers should prepare for a possible expansion of Medicare site-neutral policies

HFMA’s Chad Mulvany says if the CY2021 OPPS rule is finalized as proposed without significant modifications to CMS's MS-DRG weight-setting process, it heightens the need for hospitals to expand outpatient/ASC capacity and continue aggressive cost management.

Chad Mulvany, FHFMA October 22, 2020

Continued growth in employer-paid healthcare premiums may spur employers to find alternative solutions

HFMA's Chad Mulvany says large employers have signaled a possible end to their patience for traditional players to provide a traditional solution, and he reviews what solutions they could pursue instead.

Chad Mulvany, FHFMA October 22, 2020
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