CMS finalizes requirement for hospitals to report MA plan rates
In the FY21 IPPS final rule, CMS expanded controversial negotiated-price reporting requirements.
Hospital finance leaders expect deteriorating payer mix, HFMA survey finds
Most hospitals expect their payer mix to shift in the next 12 months toward more Medicaid and individually insured patients.
Hospitals’ challenge to new transparency rule draws skepticism from appeals court
A federal appeals panel appeared hostile to many hospital arguments in a case challenging a looming price transparency requirement.
Requirements for drug price information added to final rule on health plan price transparency
Health plans are required by a new final rule to publicly release negotiated rates with all providers and give enrollees out-of-pocket cost information for each.
HFMA Summary: Interim Final Rule – Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency
HFMA presents a summary of the COVID-19 interim final rule, released by CMS and other organizations, on October 28, 2020.
A murky step in the right direction: HHS releases updated CARES Act Provider Relief Fund guidance
HHS, in a recent update, partially reverts back to the June 19 FAQs, which based the amount of PRF a provider is entitled to on lost revenue as opposed to its switch to lost margin in the Sept. 19 guidance.
News briefs October 2020: Trends in hospital volumes and margins, and other forces shaping healthcare finance
Read about the key factors that have shaped healthcare finance policy and practice.
News briefs November 2020: Trends in hospital volumes and margins, and other forces shaping healthcare finance
Read about the key factors that have shaped healthcare finance policy and practice.
6 common ground healthcare issues that may help in overcoming discord
In the nation's current political climate and the prevailing partisan divide, healthcare is home to six issues where there is political common ground that could lead to bipartisan solutions.
Deconstructing the CMS price transparency rule
By Jan. 1, 2021, hospitals and health systems must create and make public a list of standard charges for the top items and services they provide, per CMS. An executive discusses the challenges and opportunities this presents in this overview.