Medicaid Payment and Reimbursement

Latest HHS provider relief fund FAQs offer insight into what’s permissible under the Sept. 19 reporting requirements

HFMA's Chad Mulvany says due to HHS's whipsaw approach to the provider relief fund FAQs and guidance, any clarity to be derived from the Phase 3 application instructions and FAQs needs to be considered with a measure of caution.

By Chad Mulvany, FHFMA October 22, 2020

More Medicaid programs are planning inpatient hospital payment cuts

States are moving to cut their Medicaid inpatient hospital rates amid the pandemic and its more than 400,000 hospitalizations.

By Rich Daly October 15, 2020

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.

By Rich Daly October 7, 2020

Major insurers roll back no-cost sharing telehealth services

HFMA's Chad Mulvany says patients who received a surprise bill for a telehealth visit will likely blame the provider.

By Chad Mulvany, FHFMA October 7, 2020

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.

By Rich Daly October 7, 2020

CMS drops MFAR, launches Medicaid value-based payment push

CMS drops MFAR, launches Medicaid value-based payment push.

By Rich Daly September 16, 2020

What can healthcare providers expect now that a COVID-19 relief package failed a procedural vote in the Senate

HFMA's Chad Mulvany says it’s not surprising the GOP's COVID-19 relief measure failed, given the package was negotiated without input from Democrats.

By Chad Mulvany, FHFMA September 15, 2020

As states tweak Medicaid programs, enrollment increases fall far short of job losses

Medicaid enrollment increases have lagged far behind unemployment increases but are still pressuring states facing a budget squeeze during the recession.

By Rich Daly September 14, 2020

Pandemic increases pressures for rural hospitals struggling pre-COVID-19

HFMA's Chad Mulvany says weakened rural providers will likely seek to align more closely or be acquired by a larger healthcare system or merge with one another to gain economies of scale.

By Chad Mulvany, FHFMA September 2, 2020

CARES Act Provider Relief Fund FAQs undergo another update as of August 14

HFMA's Chad Mulvany recommends healthcare leaders who think their organizations qualify for Phase 2 General Distributions review the FAQs.

By Chad Mulvany, FHFMA August 17, 2020
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