Healthcare Reimbursement News

CMS cancels regulations that would ensure coverage of breakthrough medical devices, but new legislation could fill the void

Citing patient safety concerns among other issues, CMS formally canceled a Trump administration rule that would have required Medicare to cover breakthrough medical devices.

By Nick Hut November 20, 2021

Healthcare News of Note: 53% of U.S. adults say they prefer in-person healthcare to telehealth visits moving forward, survey says

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: A majority of people prefer in-person healthcare to telehealth visits, patients have trouble grasping information during doctor visits, and Walmart taps an Ochsner exec to lead its healthcare expansion.

By Deborah Filipek November 19, 2021

Healthcare News of Note: Medicare would save $8 billion a year if all hospitals achieved the outcomes of the most cost-efficient performers, says Lown Institute

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: America’s most cost-effective hospitals are identified, employers have boosted telemedicine and mental health benefits during the pandemic, and risk-based Medicare Advantage models gain popularity with health systems.

By Deborah Filipek November 19, 2021

A New Era of Health Consumerism & Flexible Financing

The American healthcare system is experiencing significant shifts, moving past long-standingnorms. Health consumers increasingly want the new point-of-purchase financing options synonymous with today’s retail experience for their healthcare. Hospitals and health systems are turning to flexible financing solutions to meet today’s health consumers wherethey are,helping themplan forthe carethey needwithin theirbudgets.

By Shannon Burke November 18, 2021

The pandemic cast a new light on mental health, and telemedicine provided a new avenue to access. How is the industry likely to view mental health and behavioral health in the future?

Dr. Ranga Krishnan of Rush University System for Health discusses the future of mental health payment and practice. He addresses how provider organizations can address workforce shortages by becoming partners in training and by changing the way they provide care to patients. He also talks about improving mental and behavioral healthcare in a value-based payment environment.

By Erika Grotto November 16, 2021

CMS finalizes vaccination requirements for hospitals and most other healthcare settings

If hospital staff aren’t fully vaccinated by Jan. 4, their organization will be deemed noncompliant with Medicare and Medicaid regulations, according to a new rule handed down Thursday by CMS.

By Nick Hut November 13, 2021

Omnibus COVID-19 Health Care Staff Vaccination Interim Final Rule Summary

HFMA presents a detailed summary of the interim final rule revising the conditions of participation for Medicare- and Medicaid-certified providers to establish COVID-19 vaccination requirements applicable to staff.

By HFMA November 12, 2021

Healthcare News of Note: Patients in the U.S. shouldered more than $21B in cancer care costs in 2019

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: U.S. patient cancer care costs totaled $21.09 billion in 2019, healthcare safety scores fell amid the pandemic, and states are leveraging MCO contracts to improve community SDOH.

By Deborah Filipek November 8, 2021

Medicare’s 2022 payment rule for physician services adds to a significant impending cut

CMS used the 2022 final rule for Medicare physician payments to offer accommodations on policies related to telehealth and more, but concerns loom about a large cut that's in the offing.

By Nick Hut November 7, 2021

CMS finalizes changes to the price transparency penalty, inpatient-only list and more for 2022

Medicare policies affecting price transparency, the inpatient-only list and more will take effect Jan. 1 after CMS published its 2022 final rule for hospital outpatient departments and ambulatory surgical centers.

By Nick Hut November 7, 2021
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