Healthcare Reimbursement News

Financial Sustainability Report: May 2021

The May Financial Sustainability Report, sponsored by Kaufman Hall, describes a new method for compensating physicians that better accounts for each organization’s unique circumstances. It also includes guidance for finance and clinical leaders on how they can work together effectively while acknowledging their differences, and it examines how payer-provider partnerships are helping organizations keep pace with a transforming healthcare industry.

By HFMA June 1, 2021

Financial Sustainability Report: March 2020

The March issue of the Financial Sustainability Report, sponsored by Kaufman Hall, provides insights and guidance for healthcare finance leaders ranging from accessing untapped opportunities for cost savings to using risk stratification to improve the organization’s position in negotiating risk contracts.

By HFMA June 1, 2021

News briefs: In a win for hospitals, CMS removes a rate-reporting requirement from the Medicare FY22 IPPS

Recent healthcare finance and policy news included the release of the proposed rule for the FY22 Inpatient Prospective Payment System.

By Nick Hut June 1, 2021

New CMS Administrator Chiquita Brooks-LaSure gets ready to tackle surprise billing, rural healthcare and much more

During her Senate confirmation hearing, Brooks-LaSure said strengthening Medicare, Medicaid and the Affordable Care Act to bolster quality and access while lowering costs will be paramount.

By Nick Hut May 28, 2021

Democratic congressional leaders ramp up efforts to craft a health insurance public option, generating hospital pushback

Leading Democrats in the House and Senate sent out a request for information to healthcare stakeholders, seeking input as they look to establish a public option for health insurance.

By Nick Hut May 26, 2021

Hospitals not adhering to CMS’s cost transparency rule may eventually find their public images tarnished by their noncompliance

Hospitals could lose patients and their good reputations if CMS makes public the names of those noncompliant with the latest price transparency rule.

By Shawn Stack May 26, 2021

Healthcare News of Note: Health systems’ new C-suite titles reflect today’s industry issues

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: New healthcare C-suite titles, tips from CMS on securing federal funds for certain Medicaid services and a Senate subcommittee hearing on the nation’s growing mental health crisis.

By Deborah Filipek May 21, 2021

As the Senate Finance Committee considers telehealth expansion, payment approaches are a key talking point

A congressional hearing featured testimony about why fee-for-service is not a viable way to fund a Medicare telehealth expansion.

By Nick Hut May 20, 2021

Looming changes to quality reporting in the Medicare Shared Savings Program draw strong pushback from healthcare providers

Healthcare provider organizations are petitioning the Biden administration to slow recently finalized quality-related changes to the Medicare Shared Savings Program.

By Nick Hut May 18, 2021

CMS increases the payment rate for administering authorized monoclonal antibody treatments to patients with COVID-19

CMS has provided a nearly 50% boost in payment to providers that administer monoclonal antibodies to beneficiaries with COVID-19.

By Nick Hut May 17, 2021
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