Analysis: Site-neutral payment ruling favors hospitals for now
A Sept. 17 ruling by a U.S. District Judge favored hospitals by overturning the CMS rule that cut Medicare payments for E&M visits in certain hospital-based settings.
Do the Democratic candidates for president see a role for private insurance?
Healthcare is a major defining issue in the campaigns of the Democratic candidates for president, but their positions differ, particularly with respect to private insurance.
Only a tiny share of hospital revenue is risk-based: Moody’s
Just 1.9% of net patient revenue for not-for-profit (NFP) hospitals in 2018 came from risk-based payment, according to a credit-rating agency.
Proposed mandatory models should be voluntary or delayed, providers say
The latest proposed mandatory Medicare payment models drew concerns from many providers, including hospitals that cited the potential for adverse financial impacts.
Analysis: Prospects dim for surprise bill legislation
Although a recent poll says 8 in 10 Americans support congressional action to stop surprise medical bills, prospects appear dim for legislation to pass.
Analysis: Employers have a healthcare cost growth problem
A discussion on the unsustainable growth rate of employer-sponsored health benefits and how industry participants can help them.
Revenue Cycle Strategist September 2019
HFMA's Revenue Cycle Strategist newsletter's September 2019 issue includes articles on price transparency, revenue cycle digital transformation, chargemaster, revenue integrity and rising patient out-of-pocket costs.
Verma pushes back on hospital transparency concerns
In response to concerns hospital advocates have raised about several price and quality transparency initiatives proposed by the Trump administration, one of the administration’s senior healthcare leaders said it will double down on those efforts.
8 tips to identify potential issues with the chargemaster
Reviewing billing edits and claim denials, as well as scheduling quarterly chargemaster reviews can help healthcare providers proactively identify potential challenges.
Making price transparency easy for patients
Proactive providers are preparing for additional price transparency requirements to ensure they not only comply with government regulations, but also provide patients with enough information to make informed healthcare decisions.