Managed Care

3 contracting strategies to accelerate a COVID-19 financial recovery for providers

Having suffered significant losses due to the COVID-19 pandemic, healthcare providers require effective strategies to achieve a more equitable balance with payers, which have actually enjoyed a financial windfall as a result the pandemic.

Kathy Najarian, MHA September 28, 2020

Rand releases updated study of hospital payment variation in commercial market

HFMA's Chad Mulvany says it’s imperative that everyone in the U.S. supports safety-net hospitals, or there will be an increase in the disparities in access to basic healthcare services between the haves and have-nots.

Chad Mulvany, FHFMA September 25, 2020

What can healthcare providers expect now that a COVID-19 relief package failed a procedural vote in the Senate

HFMA's Chad Mulvany says it’s not surprising the GOP's COVID-19 relief measure failed, given the package was negotiated without input from Democrats.

Chad Mulvany, FHFMA September 15, 2020

Business Group on Health’s Annual Survey: Large employers ready to take the reins on healthcare cost

Responses to the Business Group on Health's annual survey of its large employer members suggest employers are tired of waiting for providers and plans to figure out how to reduce healthcare cost.

Chad Mulvany, FHFMA September 11, 2020

Aetna rolls out a no-cost sharing primary care offering for members at CVS Minute Clinics and HealthHUBS

HFMA's Chad Mulvany says it’s not surprising that Aetna would use its Minute Clinics as the basis of a primary care network for lower-cost health plans.

Chad Mulvany, FHFMA September 11, 2020

Pandemic increases pressures for rural hospitals struggling pre-COVID-19

HFMA's Chad Mulvany says weakened rural providers will likely seek to align more closely or be acquired by a larger healthcare system or merge with one another to gain economies of scale.

Chad Mulvany, FHFMA September 2, 2020

Walmart’s launch of a Medicare Advantage plan will likely impact provider service volumes

HFMA's Chad Mulvany says if Walmart applies its experience reducing healthcare costs for its associates to its new MA products, it will reduce utilization for healthcare services.

Chad Mulvany, FHFMA July 16, 2020

Consumers expect expanded telehealth to remain post-COVID-19, survey finds

Consumers support the expansion of telehealth that has taken place during the COVID-19 pandemic and want to continue to use such platforms when the pandemic ends, according to a new survey.

Rich Daly July 13, 2020

State public option efforts waiver in face of the COVID-19 pandemic

HFMA's Chad Mulvany says although COVID-19 may have "dampened enthusiasm" for Washington state's public option, he is not sure the blame for its slow start rests solely, or even partly, on COVID-19.

Chad Mulvany, FHFMA May 28, 2020

Is another health plan featuring virtual PCPs as primary access point a sign of things to come?

HFMA's Chad Mulvany questions if the recent expansion of telehealth could stimulate a trend of plans offering virtual PCPs as the primary care access point.

Chad Mulvany, FHFMA May 27, 2020
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