Healthcare Reimbursement News

A 5-month delay of the DSH payment cut is among new federal budget provisions

A delay of a $4 billion cut to hospital DSH payments was included in a year-end federal funding package.

By Rich Daly December 20, 2019

‘Medicare for All’: What would it really mean for healthcare stakeholders?

“Medicare for All” would have varying impacts on hospitals, physicians and health plans but would be expected to cause financial hardship in the majority of cases.

By Richard Rollo December 19, 2019

Battle emerges over value-based safe harbors included in anti-fraud overhaul

Although proposed Stark Law exceptions have drawn praise in comments from many healthcare stakeholders, others see reasons for caution.

By Rich Daly December 18, 2019

‘We were completely wrong’: How Henry Ford Health System won a major direct contract

How one health system won a large direct contract as such arrangements become more widespread.

By Rich Daly December 16, 2019

7 keys to engaging physicians for success under BPCI-A

Physician engagement is a critical success factor for health systems that are pursuing bundled payment initiatives.

By Douglas Ardoin Jr., MD, MBA December 16, 2019

How healthcare providers can conduct a consumer-focused pricing strategy

The growth of consumerism in healthcare has made it imperative for healthcare providers to develop a pricing strategy that can help them achieve a competitive advantage among consumers in their markets.

By Robert A. Dickinson, MBA December 16, 2019

Bipartisan policy group aims to slash hospital budgets

A group of policy advisers, researchersa nd politicians are urging a range of measures to cut spending on hospitals.

By Rich Daly December 13, 2019

Why initiate health plan contract testing?

Various circumstances require providers to prepare for the impact of payment changes.

By Lauree E. Handlon, FHFMA, RHIA, CRCR December 13, 2019

How to use contract testing and analysis to prepare for payment change

Whether a contract is new or up for renewal, a thorough understanding of the financial implications of changes to provider-payment terms is vital for continued operations.

By Lauree E. Handlon, FHFMA, RHIA, CRCR December 13, 2019

Health Plan Price Transparency in Coverage Proposed Rule Summary

HFMA provides a detailed summary of proposed rule requiring group health plans and health insurance issuers to disclose, upon request, cost-sharing amounts.

By HFMA December 13, 2019
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