Analysis: How overcoming some hurdles can help providers manage PAC spend
HFMA’s Chad Mulvany discusses how the PAC-spending results of a recent study on older patients with joint replacements could easily apply to any number of common episodes of care experienced by Medicare beneficiaries.
Analysis: What factors will come into play as stakeholders respond to a recent decision on Medicaid work rules
Key things to look for from all stakeholders even though the latest work requirement ruling only applies to the Kentucky and Arkansas cases.
Analysis: CMS looks to partner with states to expand dual-eligible care models
CMS is encouraging states to test approaches to integrating dual-eligible patients’ care to improve outcomes and reduce costs for federal and state governments.
Analysis: FY20 inpatient payment rule proposes changes to DSH, wage index
Chad Mulvany offers insight on some of the recent proposed changes to hospital Medicare IPPS payments. Issues discussed include the wage index, new technology add-on payments and FY20 UC DSH Factor 3.
Analysis: Another year closer to depleting the Part A Trust Fund
With the predicted depletion of Medicare’s hospital insurance fund, and Congress unlikely to increase taxes for working people or hike costs for beneficiates, what should healthcare finance leaders expect?
Analysis: Treasury projects Congress needs to raise the debt ceiling by late summer
Legislation to raise the debt ceiling is one of a limited number of “must pass” bills that healthcare policy changes can “ride on.”
Ask the Experts: Provider Level Adjustments
Is there a best practice for handling provider level adjustments (PLBs) in electronic health record (EHR) systems?
Ask the Experts: Cost per day
Where can we find benchmarking data across other skilled nursing facilities related to costs per day for patient care?
Improving PHI Disclosure Efficiency in the Business Office
With pressure on providers to prove medical necessity and validate code assignments, business office staff must provide more patient information, such as medical records, putting greater demands on their time. Yale New Haven Health addressed this problem by implementing a centralized protected health information (PHI) disclosure management system.
4 strategies for improved Medicare Advantage plan performance
Positive operating margins in the Medicare Advantage segment require a shift toward more effectively managing Medicare populations by recognizing their unique needs and characteristics.