Healthcare Reimbursement News

Studies find glaring issues with federal price transparency requirements

The first year of federal price transparency regulations for hospitals hasn’t had high rates of compliance, nor has it consistently led to actionable information for consumers, according to two new studies.

By Nick Hut December 21, 2021

2 new studies illustrate the burden of healthcare costs in the pandemic era

An annual report by CMS actuaries quantified the extent to which healthcare costs accelerated during the first year of the COVID-19 pandemic, while a separate survey looked at affordability.

By Nick Hut December 20, 2021

Healthcare News of Note: A majority of physicians fear they missed signs of drug misuse during the pandemic and predict drug overdose deaths will rise, says a Quest Diagnostics report

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Physicians fear they missed signs of drug misuse during the pandemic, improved technology use is seen in patient engagement, and the majority of Medicaid health plans have a health equity plan.

By Deborah Filipek December 17, 2021

Hospitals, physicians file lawsuit over the arbitration process in the new surprise billing regulations

Leading provider associations have asked a federal court to halt the incorporation of criteria that appear to favor insurers over providers in an arbitration process to determine out-of-network payment amounts.

By Nick Hut December 10, 2021

A bill to mitigate scheduled Medicare payment cuts of $14 billion is ready to go in Congress

The House of Representatives is set to vote on a bill that would nullify a large share of 2022 Medicare payment cuts.

By Nick Hut December 9, 2021

The economics of a telehealth visit: A time-based study at Penn Medicine

Research into the costs of delivering telehealth versus in-person visits by the Department of Orthopaedics at Penn Medicine sought to answer the health systems’ questions about the long-term economic viability of telemedicine services, and to help inform their conversations with payers about how much they should appropriately be paid for the services.

By Neil Ravitz, MBA December 9, 2021

Hospital-at-home care promises to reshape healthcare delivery in the United States

Two leaders of health system hospital-at-home programs describe how the acute hospital care at home model represents an important change in how our nation approaches healthcare delivery, because it has been shown to yield improved care outcomes and greater patient satisfaction.

By Eric C. Reese, PhD December 9, 2021

Medicaid expansion doesn’t appear to bolster finances or operations at critical access hospitals, study finds

Changes in operating margin, staffing ratios and quality metrics didn’t hinge on whether a critical access hospital was in a state that had expanded Medicaid.

By Nick Hut December 9, 2021

Healthcare industry leaders share ideas with CMMI for improving value-based payment models, with benchmarking a top concern

During a recent call with healthcare stakeholders, leaders with the Center for Medicare & Medicaid Innovation heard various ideas for improving value-based payment models.

By Nick Hut December 4, 2021

Healthcare News of Note: Youth mental health-related emergency department visits are on the rise as a result of the pandemic

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Mental health-related ED visits increase for children and teens, hospital volumes are nearly at 2019 levels, and TransUnion Healthcare sees a 55% increase in financial assistance requests in a 12-month period.

By Deborah Filipek December 3, 2021
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