Healthcare Reimbursement

Special Episode: CMS transparency effort misses the mark

On the day that public comments were due to CMS on its proposed rule that would require the controversial public release of rates hospitals negotiated with health plans, Joe Fifer, president and CEO of HFMA, and Chad Mulvany, director of health finance policy and analysis for HFMA, preview their comments to CMS. Learn about the promise and peril of the approach CMS is taking to this key transparency issue.

By Erika Grotto October 15, 2019

Kaiser ramps up SDOH spending, but a demonstrable ROI is likely ‘years’ away

Kaiser Permanente is directing a growing share of its $2.8 billion community benefit spending to address the social determinants of health.

By Rich Daly October 14, 2019

Oct. 13-18: Multiple national gatherings among key upcoming healthcare events

Key events include an HFMA webinar, national healthcare provider meetings and a House hearing on healthcare affordability.

By Rich Daly October 14, 2019

Don’t let infections hurt your bottom line

Finance leaders can ensure their organizations have the appropriate resources to combat healthcare-associated infections, said Susan Bleasdale, MD, of UI Health.

By Laura Ramos Hegwer October 13, 2019

Discharge Planning Final Rule Executive Summary

This document contains a high-level overview of CMS’s discharge planning final rule.

By HFMA October 11, 2019

HHS proposes 16 Stark, anti-kickback changes

HHS has proposed a range of rule changes to anti-fraud laws that providers say have blocked value-based payment arrangements.

By Rich Daly October 11, 2019

How to get a handle on Medicare bad debt

Medicare bad debt is a significant source of revenue leakage for hospitals and often is not adequately addressed.

By Jonathan Wiik October 10, 2019

Big drop in Medicaid enrollment drives 2018 increase in uninsured rate

In 2018, 1.9 million fewer people were covered by some type of health insurance, and they were most likely former Medicaid enrollees, according to new federal survey data.

By Rich Daly October 10, 2019

Analysis: Initial thoughts on the President’s recent Medicare executive order

A review and insight on several key points in the President’s Medicare executive order issued Oct. 3.

By Chad Mulvany, FHFMA October 9, 2019

Analysis: Walmart’s Sam’s Club unveils discount healthcare pilot program

A review of the Walmart Sam’s Club discount healthcare pilot program in three states and how the insight the company gleans about utilization and customer preferences will inform its health clinic concept pilot.

By Chad Mulvany, FHFMA October 8, 2019
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