OPPS rule to bring many hospital financial challenges — and a little help
The long-awaited Medicare proposed rule for hospital outpatient payments includes a high-profile mandate on hospitals to release rates negotiated with commercial health plans, among other regulations that could pose financial challenges. Several smaller provisions could help hospitals.
Slow expansion of SDOH benefits expected in 2020 MA health plans
MA health plans are expected to incrementally increase in 2020 their use of programs targeting the social determinants of health.
HFMA Survey: Chargemaster Costing Capabilities
HFMA is gathering information to understand hospitals' costing capabilities at the inpatient discharge and outpatient visit/service level.
2 states take the lead in implementing innovative healthcare reforms
Washington and Colorado are seeking to funnel noteworthy innovations in healthcare reform, including a public option, through their Medicaid infrastructures.
Verma points to hospitals as the largest driver of healthcare costs
The Trump administration’s Medicare leader singled out hospitals as the leading driver of healthcare cost increases.
‘Medicare for All’ to cost hospitals $200 billion annually, analysis finds
Although a slice of hospitals might financially benefit from a single-payer model based on Medicare rates, 90% would face cuts totaling $200 billion each year, according to a new industry analysis.
Introducing the ‘Cup of Joe’ podcast
From the team that brings you Voices in Healthcare Finance comes Cup of Joe, a new podcast featuring conversations between HFMA's President and CEO, Joe Fifer, and key industry thought leaders. In today’s preview episode, Joe talks with Gail Wilensky, an economist and senior fellow at Project HOPE who served as a senior adviser to President George H.W. Bush.
Analysis: New mandatory radiation therapy payment model
Details about the new five-year mandatory radiation therapy model released by CMS the week of July 8 are reviewed.
Analysis: Administration’s plans on drug pricing faced recent multiple setbacks
In the face of recent, multiple setbacks on the Trump administration’s proposals for drug pricing, the administration could move aggressively forward on its anticipated International Pricing Index Model for Part B drugs proposal.
Analysis: Survey results show health systems prepared to take risk
Results of a recent HFMA/Navigant survey show providers are prepared to increase their level of payment risk. HFMA’s Chad Mulvany provides insight on what these results indicate.