Author's posts
UnitedHealthcare invests $5 billion in data and technology for virtual healthcare
UnitedHealthcare has adopted a $0 out-of-pocket expense benefit for virtual visits for eligible members enrolled in applicable fully insured employer-sponsored plans.
The new coverage enhancement is designed to make remote urgent care more affordable a…
CMS releases new oncology model that has payment incentives and downside risk
The Center for Medicare and Medicaid Innovation has released a new, voluntary Enhancing Oncology Model (EOM) intended to reduce spending and improve quality of care for cancer patients.
The EOM is a 5-year voluntary model, beginning on July 1, that ha…
How to account for the physician compensation gap
NASHVILLE – An estimated three-quarters of physicians are employed by hospitals, according to information released at the HFMA session “Closing the Financial Data Gap in a Physician Alignment Strategy.”
Dialysis facilities get a proposed 1.6% payment bump for 2024
CMS is proposing to increase the end stage renal disease prospective payment base rate to $269.99 for 2024, increasing total payments to freestanding ESRD facilities by $4.42, or approximately 1.6%, compared to 2023.
For hospital-based ESRD facilities,…
Two hospital systems saved a collective $10 million through revenue cycle vendor management
NASHVILLE – Revenue cycle vendor management has saved two health systems millions, according to two vice presidents of revenue cycle speaking at HMFA 2023.
Total savings for the Vanderbilt University Medical Center has been $1.9 million to date, accord…
Optum to buy Amedisys in all-cash deal valued at over $3 billion
Optum is acquiring home health, hospice and acuity care provider Amedisys in an all-cash deal valued at an estimated $3.3 billion.
The agreement calls for the acquisition of Amedisys’s outstanding common stock in an all-cash transaction for $101 per sh…
CFOs kick off HFMA’s annual conference by addressing the financial challenges ahead
NASHVILLE – Four health system CFOs on Sunday kicked off the opening keynote session of the Healthcare Financial Management Association annual conference by summing up the challenges hospitals have overcome and how they’re tackling those ahead.
Medicaid disenrollment is happening faster than anyone thought, says former Medicaid deputy director
The loss of coverage for Medicaid recipients is happening faster than anyone believed it would, according to Karen Shields, chief client engagement officer at Gainwell Technologies, a large payer of Medicaid claims.
“It’s faster than we thought,” said …
PhRMA and other groups sue HHS over drug pricing provisions of the IRA
The National Infusion Center Association, the Global Colon Cancer Association and the Pharmaceutical Research and Manufacturers of America have filed a lawsuit in federal court over what they call
Q&A with Geisinger CEO and President Dr. Jaewon Ryu, who will be CEO of the new Risant Health
In April, Kaiser Foundation Hospitals announced the formation of a new nonprofit organization, Risant Health and its first acquisition, Geisinger Health.
