Healthcare disruptor Glen Tullman says providers need more of a consumer-centric approach
One of the country’s most prominent healthcare entrepreneurs has a warning for legacy healthcare stakeholders. “Many of you in the audience are leading major health systems, and you’re the hub for healthcare today,” Glen Tullman said during a presentation at the HIMSS Global Health Conference and Exhibition, which took place the week of April 17…
State of Medicare: Some good news on program solvency still leaves questions and challenges
Medicare should remain solvent a little bit longer than previously anticipated, while a policy debate is ramping up over how to make the program sustainable for the long term. The 2023 annual report of the Medicare Boards of Trustees projects that the Hospital Insurance (HI) trust fund, which subsidizes Part A services, essentially will be…
Healthcare Blame Game, the podcast: First episode is here!
The much-anticipated pilot episode of the “Healthcare Blame Game” podcast is now live and available to HFMA members. In this episode, HFMA Chief Content Executive Brad Dennison and Executive Producer Erika Grotto question the methodology and narrative of a recent Kaiser Health News investigation.
CMS and other stakeholders take steps to improve prior authorization in Medicare Advantage and beyond
Several recent developments point to an industrywide effort to ease the burden of prior authorization. Most notably, CMS on April 5 finalized a rule that includes provisions designed to improve prior authorization in Medicare Advantage (MA) starting with the 2024 plan year. The rule addresses a few aspects of prior authorization, among them the way…
Hospitals push back against a coordinated effort to revamp the 340B program
A lobbying fight has started over the future of the 340B Drug Pricing Program, with hospitals seeking to protect what they view as an essential source of cost savings. The advocacy group 340B Health and prominent hospital associations are seeking to repel an effort led by the Pharmaceutical Research and Manufacturers of America (PhRMA) to…
How to determine appropriate patient status and navigate observation-level care
The financial implications of ensuring appropriate patient status throughout a hospital stay are substantial, so it is in organizations’ interest to enhance the process.
Creating a sustainable healthcare workforce demands innovative solutions
Five healthcare leaders share insight on how their forward-thinking healthcare organizations approach staffing challenges facing the industry.
Healthcare News of Note: 7 hospitals earn a Press Ganey award for outstanding nursing quality
Seven hospitals were recognized for elevating nursing excellence and improving patient outcomes with Press Ganey’s National Database of Nursing Quality Indicators Award for Outstanding Nursing Quality. Only 48% of Americans rank the quality of U.S. healthcare as excellent or good, according to results of a Gallup Health and Healthcare survey. Nearly half of Americans are…
Healthcare News of Note: 100 hospitals receive funding for new physician residency slots to boost healthcare access
CMS distributed 200 Medicare-funded physician residency slots to 100 hospitals, aiming to bolster healthcare access in areas with a shortage of qualified professionals. Overall cancer mortality has dropped 33% since 1991, averting an estimated 3.8 million cancer deaths, according to the American Cancer Society’s latest report. Patients’ ratings of specialist care were markedly higher when…
Key points to know in recently proposed rules for Medicare Advantage and the ACA marketplaces
A proposed rule for health plans in Medicare Advantage has provisions designed to stem overreach in prior authorization processes.