“Medicare for All” isn’t equitable for all hospitals
A payment model in which 100% of payments are based on Medicare rates should take into account the inherent disadvantages of such an approach for the large hospitals, including academic medical centers, that provide most Medicare outlier cases.
Not like the others: House Ways and Means surprise bill legislation
Provider friendly House Ways and Means surprise bill draft legislation doesn't rely on a benchmark payment rate like competing versions.
Implications for a CFO-led strategic response to a Medicare-based payment system
If a payment model that bases payment on Medicare rates is adopted, CFOs should prepare for its financial implications by implementing a modified benchmarking system that accounts for outliers.
A single-payer system based on Medicare rates poses inherent challenges
A payment model under which 100% of payments are based on Medicare rates r\aises important questions of how to fund such a plan.
Trump administration details hospital spending plans in FY21 proposed budget
The Trump administration signaled its federal healthcare spending priorities in its proposed annual budget, which includes a slew of hospital cuts.
Feb. 10-14: Release of the Trump administration’s FY21 budget is among upcoming healthcare finance events
A complete listing of healthcare finance-related hearings, conferences, webinars, public forums and deadlines for the week of Feb. 10.
What to expect from Medicaid block grant waivers
HFMA's Chad Mulvany says the macro design choice that matters to most to providers in any state that adopts the block grant program will be whether the state chooses the true block grant financing option, or if it selects a per capita cap based on the prior year’s enrollment.
How Cigna aims to limit healthcare spending increases to mirror the consumer price index
One of the nation’s largest health plans aims to cut spending increases on healthcare services to align with the consumer price index by the end of 2021.
Is Walmart taking a page out of Clayton Christensen’s playbook?
Walmart developing a low-cost service focused on a segment of the market that traditional players tend to avoid – the uninsured and underinsured – may signal ambitions to move further into healthcare delivery.
HFMA provides comments in support of its members on ‘tri-agency’ price transparency proposed rule
HFMA comments on and suggests improvements to a proposed rule issued by U.S. Departments of Health and Human Services, Labor and the Treasury requiring health plans to provide their members with out-of-pocket cost estimates.