Revenue Cycle Management

Long-term effects of missed care get more pronounced as data emerges

Researchers are increasingly concerned that patients are missing both needed care management and early detection of serious illness, which could have long-term cost implications.

By Rich Daly October 20, 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

CMS to add COVID-19-related waivers to value-based payment models, Verma says

Medicare plans to add pandemic-era waivers to its value-based payment models as a way to incentivize provider participation.

By Rich Daly October 14, 2020

Racial disparities in business processes can exacerbate financial barriers to healthcare: What leaders should know

HFMA President and CEO Joe Fifer explains what healthcare leaders can do to reduce health inequities related to business operations.

By Joseph J. Fifer, FHFMA, CPA October 13, 2020

340B cuts, inpatient-only elimination lead hospitals’ OPPS concerns

Proposed OPPS cuts for 340B hospitals and outpatient payment changes drew the most concerns from hospitals and advocates.

By Rich Daly October 13, 2020

Rep. Suzan Delbene’s value-based payment legislation and Humana’s population health milestone in Medicare Advantage markets

Rich Daly interviews Rep. Suzan Delbene about the Value in Health Care Act, proposed legislation that would make a series of hospital-supported changes to value-based programs operated by Medicare. Andrew Renda of Humana talks about how the company improved Healthy Days in Medicare Advantage markets. In a sponsored segment, MedAssist Senior Vice President Nate Allen and Carilion Clinic's Vice President of Revenue Cycle Brett Tracy discuss Medicaid expansion in Virginia.

By Erika Grotto October 12, 2020

Self-pay A/R best practices, Stark Law with Rep. Roger Marshall and CMS’s price transparency rule

Chad Mulvany talks with members of the task force that developed recommendations around self-pay accounts receivable best practices, Rich Daly interviews Rep. Roger Marshall about his efforts to get CMS to speed up their overhaul of Stark and Antitrust laws. Gregory Adams from sponsor organization Panacea discusses some aspects of CMS's price transparency rule that hospitals might be missing.

By Erika Grotto October 12, 2020

Remote revenue cycle challenges, job hunting tips and how to share your good news with HFMA

Kim Scaccia from Wisconsin-based Mercyhealth discusses how her organization cracked the code on a remote work force. Quintin Smith from Baker Tilly talks about staying positive after a layoff. And HFMA's Jennifer Novoseletsky tells us how members can share their good news with each other. Jen's contact info: Email: jnovoseletsky@hfma.org Twitter handle: @JenNovo_HFMA

By Erika Grotto October 12, 2020

CMS Administrator Seema Verma receives HFMA’s Board of Directors Award, talks with CEO Joe Fifer

At HFMA's Digital Annual Conference, President and CEO Joe Fifer presented CMS Administrator Seema Verma with the Association's highest honor: the Richard L. Clarke Board of Directors Award in recognition of her outstanding contributions to healthcare in a role that involves oversight of a $1 trillion budget, representing 26% of the total federal budget, and administration of health coverage programs for more than 130 million Americans. Following the presentation, Fifer and Verma had a Q&A session in which she addressed price transparency, the pandemic, and the future of value-based care.

By Erika Grotto October 12, 2020

Q&A: Humana expands value-based payment push

One MA health plan discusses how it’s pushing further into value-based payment and what that means for providers.

By Rich Daly October 12, 2020
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