Research & Reports | Payment, Reimbursement, and Managed Care

: This research highlight discusses key takeaways from a May 2019 HFMA study of hospital and health system senior financial executives about their organizations’ interest in and capabilities for assuming risk.

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Column | Payment, Reimbursement, and Managed Care

Healthcare is a major defining issue in the campaigns of the Democratic candidates for president, but their positions differ, particularly with respect to private insurance.

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Article | Payment, Reimbursement, and Managed Care

In this article, BLS|Revecore talks about how its underpayment review technology and deep industry expertise help organizations collect dollars that would otherwise go unrecovered.

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News | Medicare Payment and Reimbursement

Healthcare finance policy events for the week of Sept. 16.

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News | Medicare Payment and Reimbursement

Senate appropriators will vote on funding for the U.S. Department of Health and Human Services, among other key healthcare finance events around the country next week.

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News | Medicare Payment and Reimbursement

Healthcare finance policy events for the week of Sept. 2.

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Blog | Value-Based Payment

HFMA’s Chad Mulvany reviews why he expects more employers to follow the lead of Local 32BJ’s and state Medicaid programs and implement both episodic payment models for pregnancy and non-payment for elective, pre-term C-sections.

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Blog | Medicaid Payment and Reimbursement

A review of the public charge rule, scheduled to take effect Oct. 15, and how it will impact payments to health system utilization and bottom lines.

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News | Medicaid Payment and Reimbursement

Hospitals could lose billions of dollars nationally in Medicaid and CHIP revenue due to a new change in rules for legal immigrants.

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Blog | Payment Trends

Although it appears North Carolina is abandoning its efforts to implement Medicare reference-based pricing for state employees, it’s likely not the last time a large employer tries to use this cost-cutting measure.

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News | Medicare Payment and Reimbursement

CMS Administrator Seema Verma plans to address a gathering of health information data exchange advocates on Aug. 19.

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News | Health Plan Payment and Reimbursement

The share of covered workers enrolled in high-deductible health plans (HDHPs) at large employers reached 47% in 2019.

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Blog | Medicare Payment and Reimbursement

A review of why a couple of the key changes to the CMS FY2020 IPPS Rule may not bring the desired results.

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