Payment Trends

Leverage healthcare price transparency data to promote financial sustainability

Healthcare organizations are encouraged to review strategies and how to collaborate with payers, among other insights in this article, in order to grow healthcare consumer trust, engagement and retention.

HFMA August 28, 2023

5 things to know about Medicare’s FY24 final rule for inpatient payments as hospitals foresee adverse impacts

The FY24 final rule for Medicare inpatient payments didn’t bring hospitals the type of rate update they sought, and for some organizations a bigger concern is changes to uncompensated care (UC) payments and disproportionate share hospital (DSH) payments. Here are five big points about the regulations, which take effect Oct. 1 and also cover Medicare…

Nick Hut August 2, 2023

How leveraging artificial intelligence in utilization management can enhance your revenue cycle

This white paper dives into how AI will help make healthcare sustainable and provide more of a focus on patient care. The goal is to decrease industry challenges and create new efforts to reduce the administrative cost of healthcare.

HFMA July 27, 2023

Billions of dollars in lump-sum payments are coming to hospitals as a remedy for 340B-related underpayments

Hospitals that participate in the 340B Drug Pricing Program stand to receive $9 billion in aggregate lump-sum payments as compensation for underpayments from Medicare during a nearly five-year period. In a proposed rule issued July 7, CMS described how it would provide remedies following a 2022 Supreme Court ruling that the U.S. Department of Health…

Nick Hut July 10, 2023

Denials Management Research Report

HFMA, with sponsorship from Waystar, surveyed 415 healthcare finance and revenue cycle executives to understand how denials are affecting their revenue cycle operations.

HFMA June 22, 2023

Survey reveals 5 opportunities to tackle denial prevention and management

In this survey, responses found when organizations devote greater resources to denial management than to denial prevention, their rate of first-pass denials is higher: 13.6% versus 10.9%.

HFMA June 22, 2023

The state of Medicare Advantage: As the program grows, healthcare stakeholders express concerns

As seen during a recent virtual conference, the accelerating expansion of Medicare Advantage (MA) has been accompanied by tension over growing pains such as regulatory issues. “I think MA was set up really well, but like anything else there’s sort of a moment where you have to look at the program and say: How do…

Nick Hut May 30, 2023

Congress seems inclined to expand site-neutral payment policies in Medicare (updated)

Momentum is building in Congress toward expanding site-neutral payment in Medicare, a move that could reduce payments to hospitals by billions of dollars per year. A recent hearing, which lasted 5 ½ hours, focused on various ideas for promoting transparency and competition in healthcare. The hearing included references to 17 bills or discussion drafts, several…

Nick Hut May 12, 2023

Harris Affinity Decision Support can help healthcare leaders identify meaningful areas for improvement

Improve your healthcare organization by leveraging advanced cost, performance, reimbursement and profitability data to inform and drive critical financial, operational and clinical decision-making.

HFMA May 1, 2023

How managed care contracting strategies promote operational resilience

Read this article for an in depth look on several strategic steps for healthcare leaders to take to benefit their organization's managed care contracting.

HFMA April 28, 2023
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