Big Medicare bundled payment changes could cut participation, advisers say
Most BPCI-A participants will see major changes in 2021 ahead of a mandatory model in 2024, CMS says.
Business Group on Health’s Annual Survey: Large employers ready to take the reins on healthcare cost
Responses to the Business Group on Health's annual survey of its large employer members suggest employers are tired of waiting for providers and plans to figure out how to reduce healthcare cost.
Aetna rolls out a no-cost sharing primary care offering for members at CVS Minute Clinics and HealthHUBS
HFMA's Chad Mulvany says it’s not surprising that Aetna would use its Minute Clinics as the basis of a primary care network for lower-cost health plans.
Despite the pandemic, hospitals continue to shift toward value-based payment
Hospitals plan to continue moving to value-based payment despite obstacles to caring for patients under risk-based contracts amid the COVID-19 pandemic.
Why Walmart is partnering with Oak Street on three in-store clinics in the Dallas-Fort Worth area
HFMA's Chad Mulvany says Walmart's partnership with Oak Street is due to Oak Street’s reputation for developing a patient-centric care model.
HFMA provides insight into 3 key areas of CMS’s 2021 IPPS final rule
HFMA's Chad Mulvany offers insight on key areas of the Inpatient Prospective Payment Service final rule, including market-based MS-DRG weights, Uncompensated Care DSH and Medicare bad debt requirements.
For Biden’s potential HHS pick, priorities include public option, hospital M&A, cost control
A Biden administration would push a public option, negotiate hospital prices and target hospital M&A, an adviser says.
CMS finalizes requirement for hospitals to report MA plan rates
Pandemic increases pressures for rural hospitals struggling pre-COVID-19
HFMA's Chad Mulvany says weakened rural providers will likely seek to align more closely or be acquired by a larger healthcare system or merge with one another to gain economies of scale.
Interim Final Rule Summary: COVID-19 Public Health Emergency – Additional Provider Reporting Requirements
HFMA presents a summary of the CMS interim final rule with comment detailing additional provider reporting requirements in response to the COVID-19 public health emergency.