Coming coronavirus surges will hit hospitals harder than earlier spikes did, disease expert says
An infectious disease expert expects hospitals to have larger COVID-19 patient surges than they’ve had to date.
Big value-based payment shifts may happen during a Biden administration
A Biden administration could undertake many changes to federally operated value-based payment models, say industry watchers.
Walmart’s plans to test narrow networks selected on quality could set stage for a shift in employer-sponsored insurance
Walmart plans a ground-breaking test of narrow networks for its employee health plan that will test both enrollee acceptance and physician cooperation.
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.