CMS to add COVID-19-related waivers to value-based payment models, Verma says
Medicare plans to add pandemic-era waivers to its value-based payment models as a way to incentivize provider participation.
340B cuts, inpatient-only elimination lead hospitals’ OPPS concerns
Proposed OPPS cuts for 340B hospitals and outpatient payment changes drew the most concerns from hospitals and advocates.
Proposed change to Medicare E/M payment leads to disagreement among both providers and health plans
Medicare physician payment changes for evaluation and management could have dire financial repercussions for some practices, providers warn.
How leading health system CFOs are staying agile on the road to recovery
Making strategic decisions in the current environment is difficult, but CFOs are leading their organizations by creating a more performance-based culture and adopting an agile financial planning approach.
Hospitals get relaxed Medicare repayment terms, short delay of DSH cut in federal funding bill
Hospitals will get some flexibility in the repayment of Medicare advance payment loans and a delay in uncompensated-care payment cuts under a new federal funding law.
Hospitals to lose Medicare, Medicaid access in 14 weeks if they don’t meet daily reporting requirements
Hospitals will have 14 weeks to meet daily data-reporting requirements related to COVID-19 and the flu or face termination from Medicare and Medicaid.
Public health emergency extended, $20 billion more in provider aid to be released
The COVID-19 public health emergency was extended to January and a new round of federal funding was issued for ongoing pandemic-response expenses.
Federal assistance rule changes draw increasing hospital concern
Rural and safety net hospitals are worried they may have to repay large amounts of federal coronavirus assistance under recently revised guidance.
Cigna’s 2021 strategies highlight MA trends and the resulting effects on providers
One MA health plan discusses how it’s changing its Medicare Advantage plans in response to market trends, the pandemic, social determinants of health and Medicare policies.
HFMA issues updated patient bill payment guidelines amid pandemic, public pressure
HFMA recently updated its industry guidelines on billing dispute resolution practices in response to the financial challenges of the pandemic and public pressure.