Payment Trends

Provider Risk Readiness Report

The results of a May 2019 HFMA study about risk readiness in which hospital and health system senior financial leaders share insights on their organizations’ risk capabilities and tolerance.

HFMA August 1, 2019

The price of precision medicine: 3 ways for health plans to manage genetic-testing costs

With spending on genetic testing expected to grow significantly, health plans can use three steps to get a handle on costs.

Emad Rizk, MD August 1, 2019

HFMA Survey: Chargemaster Costing Capabilities

HFMA is gathering information to understand hospitals' costing capabilities at the inpatient discharge and outpatient visit/service level.

HFMA July 25, 2019

2 states take the lead in implementing innovative healthcare reforms

Washington and Colorado are seeking to funnel noteworthy innovations in healthcare reform, including a public option, through their Medicaid infrastructures.

Pam Nicholson, MBA July 25, 2019

Verma points to hospitals as the largest driver of healthcare costs

The Trump administration’s Medicare leader singled out hospitals as the leading driver of healthcare cost increases.

Rich Daly July 25, 2019

‘Medicare for All’ to cost hospitals $200 billion annually, analysis finds

Although a slice of hospitals might financially benefit from a single-payer model based on Medicare rates, 90% would face cuts totaling $200 billion each year, according to a new industry analysis.

Rich Daly July 24, 2019

Analysis: Administration’s plans on drug pricing faced recent multiple setbacks

In the face of recent, multiple setbacks on the Trump administration’s proposals for drug pricing, the administration could move aggressively forward on its anticipated International Pricing Index Model for Part B drugs proposal.

HFMA July 16, 2019

Rural-state hospitals hail changes to Medicare wage index

Rural-state hospitals strongly back a proposed Medicare area wage index (AWI) change, but national hospital advocates are warning against it.

Rich Daly July 10, 2019

Is healthcare’s focus shifting from value to pricing?

Federal policy advisers see a shift from value-based payment to policies focused on cutting provider payments.

Rich Daly July 10, 2019

CMMI chief: Administration’s value push will continue if ACA struck down

The senior government official in charge of creating value-based payment models said the Trump administration’s commitment to such models would continue even if the law authorizing his office is struck down in an ongoing court challenge.

Rich Daly July 8, 2019
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