Medicare phases out the inpatient-only list, backs off further 340B payment cuts
The final rule for the CY21 Medicare Outpatient Prospective Payment System will phase out the inpatient-only list but won’t implement steeper 340B cuts.
Medicare shifts payments toward primary care physicians in PFS final rule
The final rule for CY21 Medicare physician payment will boost evaluation and management service payments while cutting rates for services provided by many specialty physicians.
5 tips to safeguard 20% payment increase for treating patients with COVID-19
Healthcare organizations should be careful to ensure their practices don't put their COVID-19 payments at risk.
For-profit hospital outlook improves to stable, according to Moody’s
Moody’s shifted its outlook for for-profit hospitals from negative to neutral in response to ongoing federal assistance and an expected volume recovery.
Physician Self-Referral Final Rule Summary
HFMA presents a summary of the final rule updating the regulations implementing the physician self-referral law, published by CMS in the December 2, 2020, Federal Register.
Stark, Anti-Kickback changes draw praise from providers
Final rules modifying enforcement of the Stark Law and the Anti-Kickback Statute aim to remove barriers to participation in value-based payment models.
Telehealth: Moving from stop-gap measures to an integrated care delivery model
With telemedicine on the rise, two senior leaders advise having proper denials prevention and response strategy, along with ideas on motivating physicians to participate in telehealth programs.
News briefs: December-January 2020-21: Recent trends shaping healthcare finance
Read about the key factors that have shaped healthcare finance policy and practice.
Lessons learned from the transition from volume to value
To effectively transition to value, ACO must fully grasp the success factors that will determine future success under value-based payment, including success with downside risk. A research study examined key organizational, financial, market and other characteristics that support the decision to take on risk.
Hospitals and health systems remain optimistic, overall, about APMs
An August HFMA survey, sponsored by GHX, found that, overall, hospitals and health systems are optimistic about seeing improvements in coordination and collaboration with partners in risk-based payment models over the next five years. The findings suggest organizations are moving ahead unabated in their value-based payment strategies.