Healthcare Reimbursement News

‘Medicare for All’: Do the numbers

Healthcare leaders can foster a productive debate about “Medicare for All” by driving analyses based on data such as cost projections, writes HFMA President and CEO Joseph J. Fifer.

By Joseph J. Fifer, FHFMA, CPA May 15, 2019

Analysis: The pros and cons of large statewide ACOs

Experts say because of their sheer size, “super-ACOs” can bring stability to benchmarks but be difficult to manage.

By Chad Mulvany, FHFMA May 15, 2019

Analysis: How overcoming some hurdles can help providers manage PAC spend

HFMA’s Chad Mulvany discusses how the PAC-spending results of a recent study on older patients with joint replacements could easily apply to any number of common episodes of care experienced by Medicare beneficiaries.

By Chad Mulvany, FHFMA May 15, 2019

Analysis: What factors will come into play as stakeholders respond to a recent decision on Medicaid work rules

Key things to look for from all stakeholders even though the latest work requirement ruling only applies to the Kentucky and Arkansas cases.

By Chad Mulvany, FHFMA May 15, 2019

Analysis: CMS looks to partner with states to expand dual-eligible care models

CMS is encouraging states to test approaches to integrating dual-eligible patients’ care to improve outcomes and reduce costs for federal and state governments.

By Chad Mulvany, FHFMA May 15, 2019

Analysis: FY20 inpatient payment rule proposes changes to DSH, wage index

Chad Mulvany offers insight on some of the recent proposed changes to hospital Medicare IPPS payments. Issues discussed include the wage index, new technology add-on payments and FY20 UC DSH Factor 3.

By Chad Mulvany, FHFMA May 14, 2019

Analysis: Another year closer to depleting the Part A Trust Fund

With the predicted depletion of Medicare’s hospital insurance fund, and Congress unlikely to increase taxes for working people or hike costs for beneficiates, what should healthcare finance leaders expect?

By Chad Mulvany, FHFMA May 14, 2019

Analysis: Treasury projects Congress needs to raise the debt ceiling by late summer

Legislation to raise the debt ceiling is one of a limited number of “must pass” bills that healthcare policy changes can “ride on.”

By Chad Mulvany, FHFMA May 14, 2019

HHS considers bringing healthcare concierge services into federal programs

A relatively new employer trend of making healthcare navigators available to insured employees has caught the attention of the Trump administration’s healthcare policy leader.

By Rich Daly May 14, 2019

Making sense of Trump’s 2020 budget proposals for healthcare

Congress is almost certain not to accept president Trump’s proposed budget for FY20 with its cuts to Medicare and Medicaid, but he is not the first president to propose a budget that has little chance of being accepted.

By Gail R Wilensky, PhD May 14, 2019
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