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HFMA

 •  October 11

Three hospital executives detailed their savings from a large federal drug discount program, and the initiatives funded by those savings. And members of Congress said such transparency is needed across the industry.
The House Energy and Commerce Committee’s Subcommittee on Oversight and Investigations heard details on how two hospitals and a health...

HFMA

 •  October 10

ACOs are moving toward risk, but a broad shift might not occur for three more years, according to a new survey.
Accountable care organizations (ACOs) are steadily taking on financial risk but remain unsure exactly how to manage costs, according to a recent survey.
Half of ACOs had at least one active contract that included downside risk—either...

HFMA

 •  October 9

The massive nationwide redistribution of Medicare disproportionate share hospital funding is expected to shift funds from Medicaid expansion states to non-expansion states.
Industry advisers are urging hospitals to double-check their charity care reporting this month in preparation for a major Medicare charity care policy change that is expected to...

HFMA

 •  October 4

Impacting sepsis rates starts with a commitment by organizational leadership to prioritize the issue, according to one adviser.
Amid ongoing measurement challenges, new research indicated hospital sepsis rates stabilized in recent years.
The findings should be taken with a grain of salt, according to a hospital sepsis adviser, because they come...

HFMA

 •  October 3

Although the Trump administration may be slowing down its reviews of insurance market waivers, insurers and other parties continue to urge accelerated decisions.
In the wake of a healthcare leadership shakeup, the Trump administration is expected to continue a waiver push that has produced mixed results so far.
Tom Price, MD, resigned as secretary...

HFMA

 •  October 2

Methodological changes would increase the number of one-star hospitals from 112 to 284 while also increasing the number of five-star hospitals from 83 to 278, according to a contractor.
Hospital advocates threw their support behind the federal government’s recent decision to pause the overall-quality star ratings for hospitals while considering...

HFMA

 •  September 27

Many of the 6,500 Current Procedural Terminology (CPT) codes need to be dropped, physician payment advocates say. Sept. 27—As Medicare looks for ways to simplify physician pay requirements, industry leaders see opportunities and obstacles. A proposed rule issued in July by the Centers for Medicare & Medicaid Services (CMS) sought to “start a...

HFMA

 •  September 26

The effort could result in new approaches, such as introducing work requirements or participation fees in Medicaid or vouchers to purchase Medicare Advantage plans. Sept. 26—The Centers for Medicare and Medicaid Services (CMS) last week released a Request for Information (RFI) signaling a willingness to further explore or even change the...

HFMA

 •  September 21

For a variety of reasons, the shift of federal funding to non-expansion states under the proposed bill has not generated hospital support. Sept. 21—The financial effects on hospitals of a healthcare overhaul measure that the Senate is expected to vote on next week will vary largely based on the state in which they are located, according to policy...

HFMA

 •  September 19

Some hospital groups have come out in opposition to the latest ACA overhaul, primarily over concerns that it would reduce future Medicaid spending growth. Sept. 19—The outlook for an individual-insurance marketplace stabilization package may be worsening in Congress as prospects for a last-ditch Republican healthcare reform effort appear to be...