Legal and Regulatory Compliance

Medicare phases out the inpatient-only list, backs off further 340B payment cuts

The final rule for the CY21 Medicare Outpatient Prospective Payment System will phase out the inpatient-only list but won’t implement steeper 340B cuts.

By Rich Daly December 4, 2020

Stark, Anti-Kickback changes draw praise from providers

Final rules modifying enforcement of the Stark Law and the Anti-Kickback Statute aim to remove barriers to participation in value-based payment models.

By Rich Daly December 1, 2020

News briefs: December-January 2020-21: Recent trends shaping healthcare finance

Read about the key factors that have shaped healthcare finance policy and practice.

By Rich Daly November 27, 2020

Financial Sustainability Report: April 2020

The April issue of the Financial Sustainability Report, sponsored by Kaufman Hall, offers insights that can help healthcare finance leaders guide their organizations through the COVID-19 crisis and develop long-term solutions in preparation for a new healthcare landscape in the aftermath.

By HFMA November 23, 2020

CMS’s latest guidance for healthcare organizations on the new coronavirus

The HFMA editorial team will continuously post the latest announcements from the Centers for Medicare & Medicaid Services (CMS) related to the COVID-19 outbreak.

By HFMA November 16, 2020

California v. Texas: What’s next?

HFMA's Chad Mulvany says we won’t know the outcome of the case until sometime in the first half of next year.

By Chad Mulvany, FHFMA November 10, 2020

CMS finalizes requirement for hospitals to report MA plan rates

In the FY21 IPPS final rule, CMS expanded controversial negotiated-price reporting requirements.

By Rich Daly November 2, 2020

Requirements for drug price information added to final rule on health plan price transparency

Health plans are required by a new final rule to publicly release negotiated rates with all providers and give enrollees out-of-pocket cost information for each.

By Rich Daly November 2, 2020

News briefs October 2020: Trends in hospital volumes and margins, and other forces shaping healthcare finance

Read about the key factors that have shaped healthcare finance policy and practice.

By Rich Daly October 29, 2020

News briefs November 2020: Trends in hospital volumes and margins, and other forces shaping healthcare finance

Read about the key factors that have shaped healthcare finance policy and practice.

By Rich Daly October 29, 2020
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