Healthcare Reimbursement News

Price transparency: A new chapter begins

HFMA President and CEO Joe Fifer offers a perspective on the executive order on price transparency.

By Joseph J. Fifer, FHFMA, CPA August 1, 2019

The price of precision medicine: 3 ways for health plans to manage genetic-testing costs

With spending on genetic testing expected to grow significantly, health plans can use three steps to get a handle on costs.

By Emad Rizk, MD August 1, 2019

A look at early hospital concerns over the proposed release of negotiated charges

National hospital advocates, individual executives and an industry adviser identified early concerns with the proposed mandatory release of hospital-negotiated charges.

By Rich Daly July 31, 2019

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.

By Rich Daly July 31, 2019

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.

By Rich Daly July 29, 2019

HFMA Survey: Chargemaster Costing Capabilities

HFMA is gathering information to understand hospitals' costing capabilities at the inpatient discharge and outpatient visit/service level.

By HFMA July 25, 2019

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.

By Pam Nicholson, MBA July 25, 2019

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.

By Rich Daly July 25, 2019

‘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.

By Rich Daly July 24, 2019

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.

By Erika Grotto July 19, 2019
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