States look to Medicare-based reference pricing as the solution to price variation for employee hospital services
To reduce prices paid for hospital services delivered to their employees, Montana and North Carolina are pursuing reference pricing based on Medicare rates.
States reeling under rising healthcare costs
Rising Medicaid costs and high costs of healthcare for state employees are having a negative effect on state budgets.
Montana’s dive into Medicare reference pricing reduces provider payments by almost $16 million annually
Montana’s adoption of Medicare reference pricing has dramatically reduced payment rates for healthcare services delivered to state employees.
‘Medicare for All’: Do the numbers
Healthcare leaders can foster a productive debate about “Medicare for All” by driving analyses based on data such as cost projections, writes HFMA President and CEO Joseph J. Fifer.
May 13-17: See what events are coming in healthcare
May 13—Stay ahead of healthcare news and developments with this listing of hearings, conferences, webinars, contests, public forums and deadlines for the week of May 13. Highlights include HFMA webinars and another Centers for Medicare & Medicaid Services (CMS) webcast detailing the recently released Medicare primary care models. Monday, May 13 Start of submission period…
4 strategies for improved Medicare Advantage plan performance
Positive operating margins in the Medicare Advantage segment require a shift toward more effectively managing Medicare populations by recognizing their unique needs and characteristics.
Hospitals Targeted in Federal Cost-Saving Ideas
A bipartisan group of policy advocates urged Congress to target hospitals as part of a highly anticipated legislative push on cost control.
Preventable ED Use Costs $8.3 Billion Annually: Analysis
Feb. 8—An estimated $8.3 billion is spent each year on emergency department (ED) care that could be provided in another location, according to a new analysis.
4 Key Ways the OPPS Final Rule Affects the Revenue Cycle
Clinic visits in hospital settings and 340B payments are among the changes to be aware of in 2019.
Medicaid, Drug Prices Could See Big Election Impacts
Nov. 7—On Tuesday, voters in three states approved expanding Medicaid eligibility to a total of more than 300,000 people.