Healthcare Reimbursement News

How to make annual price reviews as easy as paying your bills

Sponsored content: Healthcare organizations seeking to stay on top of new price transparency regulations should use a strategic pricing model to ensure their prices are in line with those of their market.

By HFMA November 5, 2019

Who’s afraid of the federal debt?

A review of the possible implications for alternative payment models and provider payment rates in the wake of the national debt cresting at $1 trillion with a possible recession looming.

By Chad Mulvany, FHFMA November 5, 2019

Social determinants of health: Pushing the boundaries of healthcare

Addressing the social determinants of health is vital to improving health outcomes, but meaningful improvement requires new levels of collaboration.

By Joseph J. Fifer, FHFMA, CPA November 5, 2019

Analysis: Investment income may not be enough for not-for-profit hospitals as federal reductions in payments continue

A review of why not-for-profit hospitals’ reliance on investment income may not be enough in the face of continued reductions in federal payments to hospitals over the next 10 years.

By Chad Mulvany, FHFMA November 5, 2019

Analysis: Walmart’s Centers of Excellence program goes local

Walmart’s use of Embold Health to provide its employees with access to high-quality, cost-efficient providers has the potential for broader impact.

By Chad Mulvany, FHFMA November 5, 2019

Analysis: Amazon acquires care navigator to integrate into virtual care solution

A review of how Amazon will monetize what it learns from managing populations now that they have own their own virtual care navigator.

By Chad Mulvany, FHFMA November 5, 2019

Analysis: 2018 Medicare ACO results: Promising but not sufficient

A review of CMS’s recently released 2018 MSSP prompts HFMA’s Chad Mulvany to suggest as a society, the U.S. needs find additional ways to close the deficit between our means to pay for federal healthcare programs and what these programs cost.

By Chad Mulvany, FHFMA November 5, 2019

Administrative prior authorization requirements increasingly used to steer patients to lower-cost settings

Hospital finances could be significantly impacted by UnitedHealthcare’s expansion of site-of-service prior authorization requirements going into effect Nov. 1.

By Chad Mulvany, FHFMA November 5, 2019

Analysis: What to expect after the Texas vs. Azar ruling

There’s still much to be argued and dealt with regarding Texas versus Azar, and no final decision on the ACA should be expected until June 2020 at the earliest.

By Chad Mulvany, FHFMA November 5, 2019

Healthcare reform moves to the states: Strategies to increase access and control costs

An increasing number of states are looking to improve access and reduce costs by funneling innovations, such as a public option or reinsurance program, through Medicaid.

By Pam Nicholson, MBA November 5, 2019
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