Payment Trends

CMS issues FY23 proposed payment rules for hospices, inpatient psychiatric facilities and inpatient rehabilitation facilities

CMS has released proposed FY23 rules governing prospective payments to hospices, inpatient psychiatric facilities and inpatient rehabilitation facilities.

Nick Hut April 8, 2022

Optimizing the revenue cycle by streamlining and automating payment collections

This roundtable features leaders’ insight to help entities evolve in today’s workforce to meet challenges such as regulations and digital adoption.

HFMA March 24, 2022

Healthcare pricing update: 2 experts call for greater regulation

Recent price increases have been slower in healthcare than in the economy at large, but two healthcare economists say the long-term price trends should be addressed through regulation.

Nick Hut March 12, 2022

Simplifying the revenue cycle while building resilience

“Several senior financial leaders discuss their organizations’ revenue cycle management (RCM) optimization initiatives, focusing on a variety of strategies, including eligibility checks, denials prevention programs and automation.”

HFMA March 1, 2022

Optimizing the revenue cycle by streamlining and automating payment collections

Nine healthcare finance professionals dive into strategies to help entities evolve to meet challenges faced by providers and payers in finding qualified employees in today’s workforce.

HFMA February 3, 2022

Healthcare News of Note: McKinsey analyzes a range of scenarios based on the infectiousness, immune evasion and severity of disease linked to the omicron variant

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: An in-depth analysis looked at what the U.S. can expect with the onslaught of the omicron variant, CMS rescinded a drug pricing model, and total healthcare utilization in 2020 dipped below 2019 levels.

Deborah Filipek January 28, 2022

Payvider Survey Summary Report

HFMA, with sponsorship from Guidehouse, surveyed over 100 health system CFOs and finance and managed care executives to understand payvider model trends. The survey indicates that provider organizations are gravitating towards risk-based payment models. Nearly 60% of health systems responding to the survey plan to advance into risk-based Medicare Advantage models this year. Survey respondents…

HFMA January 7, 2022

How to create an employer-friendly healthcare center of excellence

Increasing health expenditures and the pressures of the recent pandemic have contributed to the development of a new type of center of excellence (COE), called the future-state COE, which is designed to better address the needs of large employers. This COE model incorporates value-based contracting and a strong incentive design into a service-line strategy to create employee health programs that benefit employers, patients and providers alike.

Kathy Najarian December 22, 2021

A bill to mitigate scheduled Medicare payment cuts of $14 billion is ready to go in Congress

The House of Representatives is set to vote on a bill that would nullify a large share of 2022 Medicare payment cuts.

Nick Hut December 9, 2021

The economics of a telehealth visit: A time-based study at Penn Medicine

Research into the costs of delivering telehealth versus in-person visits by the Department of Orthopaedics at Penn Medicine sought to answer the health systems’ questions about the long-term economic viability of telemedicine services, and to help inform their conversations with payers about how much they should appropriately be paid for the services.

Neil Ravitz, MBA December 9, 2021
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