Healthcare Reimbursement

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

FY20 inpatient payment rule proposes changes to DSH, wage index

The proposed rule for Medicare inpatient payments could significantly affect uncompensated-care payment and wage adjustments.

By Rich Daly May 9, 2019

Will a quarter of primary care physicians join the new Medicare payment models?

The Trump administration envisions the five coming primary care models that were unveiled this week to include one-quarter of such clinicians. But Medicare advisers and others are split on whether many providers can succeed in the models.

By Rich Daly May 9, 2019

Value-Based Contracting Not Taking Off: Health Plan Survey

Health plans see a shift to value-based payment on the horizon, according to a new industry survey. It’s a familiar finding.

By Rich Daly May 8, 2019

Some Practices Leave Largest Bundle Program

Physician practices were more likely than other providers to depart from Medicare’s largest bundled payment program by the March 1 deadline to drop out, according to industry advisers.

By Rich Daly May 6, 2019

Public-Option Bill Cuts $774 Billion in Hospital Revenue: Report

High-profile legislation that would launch a Medicare-based public option to compete against private insurers would slash national healthcare spending—primarily through reduced hospital pay, according to a new analysis.

By Rich Daly May 6, 2019

Trump Budget Road-Tests Hospital Policies

Hospital impacts in the Trump administration’s proposed FY20 budget include cuts to Medicare uncompensated care, more site-neutral payments, and an extension of coming Medicaid payment cuts.

By Rich Daly May 6, 2019

Medicaid Work Requirements Will Negatively Impact Hospital Finances

Medicaid work requirement projected impacts on hospital finances range from $1 million to more than $6 million.

By Chad Mulvany, FHFMA May 6, 2019

Challenges Differ for Hospital-Led, Physician-Led ACOs; Could Drive Departures

A newly released survey found very different challenges for accountable care organizations (ACOs) depending on whether they are led by physicians or hospitals. The revelation followed an increase in the dropout rate among physician-led entities.

By Rich Daly May 6, 2019

April 7-12: See what events are coming in health care

Stay ahead of healthcare news developments by knowing what is on the industry horizon through this HFMA listing of hearings, conferences, webinars, contests, public forums, and deadlines for the week of April 7.

By Rich Daly May 6, 2019

Azar seeks to counter trend of rural hospital closures

As rural hospital closures since enactment of healthcare reform moved into the triple digits, the Trump administration revealed some steps it is pursuing to reverse the trend.

By Rich Daly May 6, 2019
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