FFS Medicaid Most Challenging for Billing: Study
April 4—One of the first direct comparisons of billing complexities between various types of payers found that Medicaid fee-for-service (FFS) programs were the most challenging for providers.
Medicare Advantage Rates, Policies Draw Insurer Praise
April 3—Medicare Advantage (MA) plans received an unexpected pay boost and generally beneficial policies in the final call letter and rules issued this week for 2019.
Building a Resilient Managed Medicaid Program in the Face of Uncertainty
By collaborating with state agencies, a provider-sponsored health plan has thrived and expanded in an economically disadvantaged area.
LTCH Pay Change to Cover Less than Half of Costs: Analysis
April 2—An ongoing Medicare payment change will cover less than half of the costs of care for long-term care hospital (LTCH) patients who are subject to it, according to a new analysis.
Understanding Value
HFMA President and CEO Joseph J. Fifer, FHFMA, CPA, talks about the need to develop a shared understanding of value.
Proposal to Eliminate MIPS Appears to Lack Provider Buy-in
March 26—The Medicare Payment Advisory Commission (MedPAC) earlier this month announced a proposal to drop the Merit-based Incentive Payment System (MIPS) program as part of its annual report to Congress on needed changes to Medicare payment policies.
Federal Spending Bill Lacks Sought-After ACA Stabilization Measures
March 22—A bill to fund the federal government through the rest of FY18 includes various healthcare measures but does not incorporate a proposed stabilization plan for the Affordable Care Act’s (ACA’s) insurance markets.
HFMA Comments on the Senate Transparency Initiative
HFMA provides comments to Senators to inform the bipartisan initiative to increase healthcare price and quality transparency, as described in a February 28, 2018, letter.
Value-Based Payment Readiness
This article discusses key takeaways from a September 2017 HFMA survey of senior financial executives about value-based payment readiness and how it has changed in recent years.
Association Health Plans Advance Over Hospital Concerns
March 20—Congressional Republicans and small-business advocates this week rejected hospital concerns that proposed rules to allow a proliferation of association health plans (AHPs) would produce a range of problems.