Healthcare Reimbursement News

May 4-8: CMS webinars are among a slew of online-only events in healthcare finance

A complete listing of healthcare finance-related hearings, conferences, webinars, public forums and deadlines for the week of May 4.

By Rich Daly August 16, 2021

Updating Payment Parameters, Waiver Implementing Regulations, and Improving Health Insurance Markets Proposed Rule Summary | HFMA

HFMA presents a detailed summary of the proposed rule regarding the Patient Protection and Affordable Care Act (ACA); Updating Payment Parameters, Section 1332 Waiver Implementing Regulations, and Improving Health Insurance Markets for 2022 and Beyond.

By HFMA August 14, 2021

News of Note: U.S. healthcare ranks last in comparison with 10 other high-income countries in a report by The Commonwealth Fund

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Study says U.S. healthcare ranks last, LGBT+ community faces disparities, and 18 groups demand better healthcare.

By Deborah Filipek August 13, 2021

FY22 rule for the Inpatient Prospective Payment System finalizes a payment increase and key policy updates

The base payment increase for hospital inpatient services in FY22 will be 2.5%, according to a final rule issued by CMS.

By Nick Hut August 3, 2021

Congress opts not to use Provider Relief Fund allocations as an infrastructure funding source

Earlier reports indicated that Provider Relief Fund money would be used to help pay for the pending bipartisan infrastructure bill, but the legislative text includes no such language.

By Nick Hut August 2, 2021

Latest hospital readmissions data highlight the challenges posed by septicemia

For all diagnoses across payers, researchers reported a 30-day readmission rate of 14% and an average cost per readmission of $15,200.

By Nick Hut July 30, 2021

Hospital-at-home programs are gaining traction and have well-documented benefits, experts say

A Medicare waiver issued in late 2020 has spurred more health systems to implement home-care programs for acute conditions.

By Nick Hut July 30, 2021

Study: In price negotiations with hospitals, self-insured employers lack leverage

The vast difference in market power between hospitals and employers leaves the latter group with little recourse in negotiations, according to a new study.

By Nick Hut July 29, 2021

ACO leaders support new bill designed to boost participation in value-based payment

Accountable care organizations stand to benefit from a new bill that would increase investment funding and make changes to federal ACO programs, several executives said.

By Nick Hut July 26, 2021

Financial Sustainability Report: July 2021

The July 2021 issue of the Financial Sustainability Report, sponsored by Kaufman Hall, includes an account of how one health system assessed the benefits and risk associated with moving its 340B covered-entity pharmacy enterprise to a Limited Liability Company. The issue also includes a commentary on CMS’s new Acute Hospital Care at Home program and a discussion of a new metric, equivalent net patient revenue (ENPR), which organizations can use to assess the relative value of proposed investments in alternative revenue sources.

By HFMA July 23, 2021
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