Healthcare Reimbursement News

Federal funding bill addresses 340B eligibility concerns but not some other points of interest for hospitals

An FY22 appropriations bill allows hospitals to remain in the 340B Drug Pricing Program if their eligibility had been adversely affected by the COVID-19 pandemic.

By Nick Hut March 12, 2022

Healthcare pricing update: 2 experts call for greater regulation

Recent price increases have been slower in healthcare than in the economy at large, but two healthcare economists say the long-term price trends should be addressed through regulation.

By Nick Hut March 12, 2022

Medicare coverage updates include revised criteria for lung cancer screening and a code for a newly approved COVID-19 treatment

CMS in February amended its coverage requirements for lung cancer screening and issued a code for a new COVID-19 treatment.

By Nick Hut March 5, 2022

Healthcare News of Note: Americans living in rural areas face an increased risk of death, in part due to issues with healthcare access, says a new infographic

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Issues with healthcare access contribute to an increased risk of death for rural residents, many workers struggle to pay for healthcare deductibles, and hospital and physician office markups on certain drugs escalate consumer costs.

By Deborah Filipek March 4, 2022

CMS’s overhaul of the Direct Contracting program draws praise from supporters of value-based payment

Value-based payment advocates see reason for optimism in CMS’s recent decision on the future of its Direct Contracting model.

By Nick Hut March 4, 2022

David Johnson: Cracks in the foundation, Part 2: Overcoming healthcare’s artificial economics

In normal markets, demand for services at given prices drives supply. Healthcare reverses the equation so demand for services is driven by the supply of healthcare facilities and practitioners, says hfm columnist David Johnson. In this second column in his series examining structural defects of the U.S. healthcare system, Johnson challenges these “artificial economics” and describes how cutting-edge health systems will apply new, more customer-focused economics to become the future market leaders.

By David W. Johnson March 2, 2022

Simplifying the revenue cycle while building resilience

“Several senior financial leaders discuss their organizations’ revenue cycle management (RCM) optimization initiatives, focusing on a variety of strategies, including eligibility checks, denials prevention programs and automation.”

By HFMA March 1, 2022

News Briefs: Report finds unwillingness to get the COVID-19 vaccine drove healthcare job cuts in January

A roundup of top news for healthcare finance professionals.

By Nick Hut March 1, 2022

Medicaid eligibility: Strategies to provide care access and maximize reimbursement

Is your hospital or healthcare system constantly seeking ways to help patients access care through Medicaid while maximizing their own reimbursement? Look no more as this sponsored survey unveils effective solutions for these challenges.

By HFMA February 28, 2022

Thought Leadership Retreat summary reports

Read reports from HFMA's Annual Thought Leadership Retreat.

By HFMA February 26, 2022
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