Healthcare Reimbursement

Maryland TCOC: A grand demonstration continues

As Maryland's Medicare Total Cost of Care priogram enters its second year, it It is a goodtime to revisit the program to understand its essential elements and implications for the nation's healthcare system.

By Dale N. Schumacher, MD, MPH January 2, 2020

Analysis: FY20 appropriations bills passed – lessons for potential future healthcare legislation

A review of the FY20 appropriations package to fund the federal government and a couple of ideas on lessons that might be applied to future efforts to expand coverage.

By Chad Mulvany, FHFMA December 30, 2019

Enrollment largely stable in ACA marketplaces

There will be no practical impact from any court ruling on the Affordable Care Act until a Supreme Court decision comes down in 2020 at the earliest.

By Rich Daly December 26, 2019

Top 10 HFMA Daily stories of 2019

Look back at the year with our top stories.

By HFMA December 23, 2019

Hospital price study draws pushback

The dramatic conclusion of new research that hospitals prices are more than 200 percent of Medicare rates is raising questions among industry analysts.

By Rich Daly December 23, 2019

After ACA court decision, ‘Nothing is changing’ immediately

There will be no practical impact from any court ruling on the Affordable Care Act until a Supreme Court decision comes down in 2020 at the earliest.

By Rich Daly December 23, 2019

How Montana got hospitals to accept Medicare-based payment rates

Montana moved its hospitals to Medicare-based payment rates to help reduce costs for its state-employee health plan.

By Rich Daly December 20, 2019

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
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