Medicare Payment and Reimbursement

Take this job and shove it: 2 PTAC members quit in frustration over CMMI opposition to committee recommendations

The result of CMMI’s reluctance to accept recommendations from the field is one of many factors that stymies the transition to value.

By Chad Mulvany, FHFMA November 26, 2019

Nov. 25-29: CMS comment deadlines are among the week’s healthcare finance events

Deadlines to comment on various CMS initiatives affecting hospitals are among the major healthcare finance events taking place the week of Nov. 25.

By Rich Daly November 21, 2019

White House healthcare leader expresses skepticism of mandatory models

The Trump administration’s healthcare policy leader was openly skeptical about further use of mandatory payment models after Medicare has added several in recent years.

By Rich Daly November 14, 2019

Why the Trump administration is pursuing hospital payment cuts that courts have rejected

The Trump administration is continuing to push hospital payment cuts rejected by courts to make the case to Congress that new laws are needed, according to a senior White House official.

By Rich Daly November 13, 2019

Federal policy drives hospital-practice deals but not M&A between hospitals, MedPAC finds

Federal policy is not driving hospital M&A but is encouraging hospital purchases of practices, a key congressional advisory group said.

By Rich Daly November 12, 2019

Hospitals baffled over why Medicare continues site-neutral payments, 340B cuts despite adverse court rulings

Hospital advocates blasted two major payment cuts that were implemented recently despite court orders overriding the cuts and warned about the consequences.

By Rich Daly November 7, 2019

Analysis: Private equity interest in orthopedics increases

Demographics and payment policy are the main drivers of the surge in private equity deals involving orthopedics practices in 2019.

By Chad Mulvany, FHFMA November 7, 2019

How hospital quality executives are pitching value-based payment to CFOs

Healthcare quality-improvement executives see ways in which an emphasis on value can improve some hospitals’ finances.

By Rich Daly November 7, 2019

Analysis: Investment income may not be enough for not-for-profit hospitals as federal reductions in payments continue

A review of why not-for-profit hospitals’ reliance on investment income may not be enough in the face of continued reductions in federal payments to hospitals over the next 10 years.

By Chad Mulvany, FHFMA November 5, 2019

Analysis: 2018 Medicare ACO results: Promising but not sufficient

A review of CMS’s recently released 2018 MSSP prompts HFMA’s Chad Mulvany to suggest as a society, the U.S. needs find additional ways to close the deficit between our means to pay for federal healthcare programs and what these programs cost.

By Chad Mulvany, FHFMA November 5, 2019
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