Medicaid Payment and Reimbursement

Video: Tips for Secure Medical Record Transmission to Payers

Common mistakes are not using security options to send records and not tracking what data or claims are sent. 

HFMA January 17, 2018

Why Hospitals Support Kentucky’s Medicaid Waiver

Jan. 15—Kentucky’s recently approved Medicaid waiver has drawn criticism for implementing “work requirements,” but hospitals say the details make it more palatable.

Rich Daly January 16, 2018

Medicaid Expansion Lessened Hospital Closures: Study

Jan. 9—The expansion of Medicaid eligibility under the Affordable Care Act (ACA) helped prevent some hospital closures in those states, according to new research.

Rich Daly January 10, 2018

Why Hospitals Should Partner With Home Health Agencies

By bringing post-acute care into patient homes, home health services are reducing readmissions by 31 percent and overall healthcare costs by 24 percent. 

HFMA November 27, 2017

Trend Toward Increasing Payer Deductions Continues

Payer deductions continue to increase, with government payers far exceeding private and managed care plans. 

David Koepke, PhD October 31, 2017

Understanding the Problem of Claim Processing Waste

Even small improvements in connectivity and transparency could save a few dollars per healthcare claim, which adds up very quickly.

Erin Murphy October 16, 2017

Creating Value in the Medicaid Expansion: A Strategic Framework for AMCs

Academic medical centers that work with states to find mutually beneficial Medicaid strategies may find themselves well positioned in an era of value.

Michael J. Schwartz October 4, 2017

CMS Proposal: A Path to an Uncertain Future for 340B

CMS’s proposal to reduce rates for 340B-covered entities for separately payable outpatient drugs may indicate the Trump administration may take an aggressive approach to healthcare policy.

Mark Polston, JD October 2, 2017

HFMA Comments on CY18 Physician Fee Schedule Proposed Rule

HFMA commented on CMS’s CY 2018  Physician Fee Schedule proposed rule.

HFMA September 7, 2017

Three Strikes Against the Idea that Coverage Reduces ED Use

Ken Perez describes three case studies showing that expanded coverage increases emergency department use.

Ken Perez August 31, 2017
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