Reimbursement

What to know before rolling out a PSHP

Healthcare organizations that are launching a provider-sponsored health plan should consider four recommendations.

By HFMA August 31, 2019

Ontario Systems: Helping Healthcare Organizations Realize the Benefits of an Accountable Collections Team

Steve Scibetta, vice president and general manager at Ontario Systems, offers strategies for optimizing the revenue cycle, including employing supportive accounts receivable technology and building an accountable collections team.

By HFMA August 31, 2019

BLS|Revecore: Technology-Driven Underpayment Review Services

In this article, BLS|Revecore talks about how its underpayment review technology and deep industry expertise help organizations collect dollars that would otherwise go unrecovered.

By HFMA August 31, 2019

Navigant Consulting, Inc.: Hospitals and Health Systems Prepare to Assume More Risk

: This research highlight discusses key takeaways from a May 2019 HFMA study of hospital and health system senior financial executives about their organizations’ interest in and capabilities for assuming risk.

By HFMA August 31, 2019

Supporters of releasing privately negotiated health plan rates dominate public comments

Supporters of a proposal for hospitals to release their health plan-negotiated rates, so far, have dominated comments on it to CMS.

By Rich Daly August 31, 2019

MedPAC meeting among next week’s key healthcare events

Healthcare finance policy events for the week of Sept. 2.

By Rich Daly August 29, 2019

Search for federal funding driving surprise bill legislation: advisers

A search for new federal funding is driving fast-moving surprise billing legislation and will ultimately determine if it is enacted, according to legislative advisers.

By Rich Daly August 29, 2019

Analysis: How a union’s plan could foreshadow changes in maternity care nationwide

HFMA’s Chad Mulvany reviews why he expects more employers to follow the lead of Local 32BJ’s and state Medicaid programs and implement both episodic payment models for pregnancy and non-payment for elective, pre-term C-sections.

By Chad Mulvany, FHFMA August 28, 2019

Analysis: New public charge rule will drive up healthcare costs

A review of the public charge rule, scheduled to take effect Oct. 15, and how it will impact payments to health system utilization and bottom lines.

By Chad Mulvany, FHFMA August 28, 2019

Analysis: Proposed negotiated-rate posting requirements from the OPPS rule

HFMA's Chad Mulvany offers insight into the major issues associated with CMS’s proposed new requirement for hospitals to post negotiated rates.

By Chad Mulvany, FHFMA August 28, 2019
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