Coronavirus

Allow ACOs to Use Pre-Pandemic Years for 2022 Benchmarks, Groups Urge

by Victoria Bailey

A group of healthcare organizations, led by the National Association of ACOs (NAACOS), has asked CMS to provide accountable care organizations (ACOs) with the option to use pre-pandemic years to set...

Telehealth Reimbursement Needed to Address Demand, Staffing Issues

by Jacqueline LaPointe

Telehealth reimbursement is key to continuing virtual care innovation and addressing healthcare staffing issues at primary care practices, according to a new survey. The survey conducted in mid-August...

Clinical Labor Costs Increased by $24B During Pandemic

by Jacqueline LaPointe

Hospitals and health systems are spending about 8 percent more per patient day on clinical labor costs compared to pre-pandemic times, according to a recent analysis from Premier Inc. For the average...

AMA Issues CPT Codes for Pediatric Doses of Pfizer COVID-19 Vaccine

by Victoria Bailey

The American Medical Association (AMA) has issued new Current Procedural Terminology (CPT) codes for pediatric doses of the Pfizer COVID-19 vaccine. In September 2021, Pfizer and BioNTech shared the...

Value-Based Payment Models May Help Hospitals Prepare for Surges

by Victoria Bailey

Hospitals and health systems can implement value-based payment models to ensure preparedness for seasonal and pandemic capacity surges, according to industry experts. Hospitals experienced increased...

HRSA Opens Application for Provider COVID-19 Relief Funds

by Victoria Bailey

The Health Resources and Service Administration (HRSA) has opened the portal for healthcare providers to apply for part of $25.5 billion in COVID-19 relief funds. The American Rescue Plan Act will...

Hospital Volumes Dipped in August As Delta Variant Surged

by Jacqueline LaPointe

Hospitals volumes once again declined this summer as coronavirus resurged due to the Delta variant, according to a new report from Kaufman Hall. The healthcare consulting firm drew on financial data...

Nursing Homes, Assisted Living Facilities Facing Staffing Shortages

by Victoria Bailey

The majority of nursing homes and assisted living facilities are facing staffing shortages and say that their workforce situation has gotten worse in 2021, according to a survey from the American...

Physician Practice Interruption Increased Due to COVID-19 Pandemic

by Victoria Bailey

Physician practice interruptions, like declining patient volumes and claims submitted, were abundant in 2020 compared to the previous year, likely due to the COVID-19 pandemic, according to research...

Hospitals Slated to Lose $54B in 2021 As Pandemic Rages On

by Jacqueline LaPointe

Hospitals are estimated to lose $54 billion in net income this year despite receiving federal aid to offset revenue losses and added expenses from the ongoing COVID-19 pandemic, a new report...

Complex COVID-19 Hospitalizations Cost an Average of $300K

by Victoria Bailey

COVID-19 hospitalizations can cost up to $318,000, according to new cost estimates from FAIR Health. The FAIR Health Total Treatment Cost COVID-19 benchmarks account for the costs incurred by COVID-19...

Medical Coding Slip at TX Hospital Led to COVID-19 Billing Error

by Jacqueline LaPointe

Midland Memorial Hospital agreed to pay over $555,000 for a medical coding error that resulted in claims being sent out for reimbursement from the government even though patients did not have a primary...

The Impact the Unvaccinated Are Having on Healthcare Spending

by Jacqueline LaPointe

The impact the unvaccinated population is having on healthcare spending is significant, according to a new analysis from Kaiser Family Foundation (KFF). There were approximately 287,000 preventable...

HHS Announces Plan to Distribute $25.5B in COVID-19 Provider Relief

by Jacqueline LaPointe

HHS will distribute $25.5 billion in COVID-19 provider funding, including $8.5 billion from the American Rescue Plan for rural providers and a fourth round of general Provider Relief Fund distribution...

CMS to Tie Vaccine Mandate to Medicaid, Medicare Participation

by Jacqueline LaPointe

A COVID-19 vaccine mandate for healthcare workers will be tied to Medicaid and Medicare Conditions of Participation (CoP), the Biden-Harris Administration recently announced. The announcement made via...

Revenue-Based COVID-19 Funds Failed to Help Some Hospitals in Need

by Jacqueline LaPointe

Congress allocated $178 billion to the Provider Relief Fund to help hospitals overcome the financial and operational challenges of the COVID-19 pandemic. But the primary distribution method for the aid...

Hospitals Still Waiting on Remaining COVID-19 Provider Relief Funds

by Jacqueline LaPointe

The American Hospital Association (AHA) is urging HHS to distribute billions of dollars still sitting in the COVID-19 Provider Relief Fund. The Sept. 2 special bulletin from the AHA said that it...

AMA Updates CPT Codes for COVID-19 Vaccines

by Jacqueline LaPointe

The American Medical Association (AMA) has announced updates to the Current Procedural Terminology (CPT) code set to account for changes to COVID-19 vaccines, including booster shots expected to...

How Has COVID-19 Impacted Medicare Spending, Solvency?

by Jacqueline LaPointe

The Medicare Trust Fund is still expected to run out by 2026 despite increased Medicare spending on COVID-19 treatment and prevention over the past year and a half, a new report reveals. The annual...

Healthcare Bankruptcies on the Decline Despite Ongoing Pandemic

by Jacqueline LaPointe

Healthcare bankruptcies made an unprecedented decline this past quarter despite ongoing operational and financial pressures from the ongoing COVID-19 pandemic, according to a new report. What is...