Healthcare Reimbursement

Articles covering payer reimbursement, managed care, payment models, revenue optimization, and healthcare payment policy changes.

2 approaches illustrate best practices in digital patient engagement

Two health plans shared the ways they’ve improved digital engagement with both patients and providers.

By Rich Daly September 26, 2019

Verma to insurers: The public is ‘frustrated with you’

Seema Verma, administrator of CMS, says health plans need to become much more innovative, or they will be eliminated due to political pressure stemming from the public’s frustration.

By Rich Daly September 26, 2019

Court tosses $380 million site-neutral payment cut

A federal judge rejected a large 2019 payment cut for many hospital outpatient departments.

By Rich Daly September 24, 2019

Analysis: Site-neutral payment ruling favors hospitals for now

A Sept. 17 ruling by a U.S. District Judge favored hospitals by overturning the CMS rule that cut Medicare payments for E&M visits in certain hospital-based settings.

By Chad Mulvany, FHFMA September 24, 2019

Do the Democratic candidates for president see a role for private insurance?

Healthcare is a major defining issue in the campaigns of the Democratic candidates for president, but their positions differ, particularly with respect to private insurance.

By Gail R Wilensky, PhD September 20, 2019

Only a tiny share of hospital revenue is risk-based: Moody’s

Just 1.9% of net patient revenue for not-for-profit (NFP) hospitals in 2018 came from risk-based payment, according to a credit-rating agency.

By Rich Daly September 19, 2019

Proposed mandatory models should be voluntary or delayed, providers say

The latest proposed mandatory Medicare payment models drew concerns from many providers, including hospitals that cited the potential for adverse financial impacts.

By Rich Daly September 18, 2019

Analysis: Prospects dim for surprise bill legislation

Although a recent poll says 8 in 10 Americans support congressional action to stop surprise medical bills, prospects appear dim for legislation to pass.

By Chad Mulvany, FHFMA September 17, 2019

Analysis: Employers have a healthcare cost growth problem

A discussion on the unsustainable growth rate of employer-sponsored health benefits and how industry participants can help them.

By Chad Mulvany, FHFMA September 17, 2019

Revenue Cycle Strategist September 2019

HFMA's Revenue Cycle Strategist newsletter's September 2019 issue includes articles on price transparency, revenue cycle digital transformation, chargemaster, revenue integrity and rising patient out-of-pocket costs.

By HFMA September 16, 2019
googletag.cmd.push( function () { googletag.display( 'hfma-gpt-leaderboard' ); } );

{{ loadingHeading }}

{{ loadingSubHeading }}

We’re having trouble logging you in.

For assistance, contact our Member Services Team.

Your session has expired.

Please reload the page and try again.