Hospital Reimbursement

Hospital Stimulus Funds to Pay for Uninsured COVID-19 Treatment

by Jacqueline LaPointe

Some of the $100 billion in coronavirus stimulus money earmarked for hospitals will pay for COVID-19 treatment of the uninsured, HHS Secretary Alex Azar recently announced. For more coronavirus...

AHA Asks for an Immediate $25K Per Hospital Bed to Combat COVID-19

by Jacqueline LaPointe

COVID-19 is having a significant impact on hospital operations and ultimately bottom lines, but groups like the American Hospital Association (AHA) are trying to get financial support to hospitals as...

CMS to Pay For Hospital COVID-19 Care Furnished in Other Settings

by Jacqueline LaPointe

CMS recently announced new, temporary regulatory flexibilities for hospitals battling the COVID-19 pandemic. For more coronavirus updates, visit our resource page, updated twice daily by...

Out-of-Network Payment Cap Would Cut Hospital Spending by $124B

by Jacqueline LaPointe

Capping out-of-network payments to hospitals at 125 percent of Medicare rates could yield up to $124 billion in savings nationwide, making this a viable policy alternative to Medicare-for-All,...

No Reimbursement Impedes Social Determinants of Health Progress

by Jacqueline LaPointe

Hospitals are struggling to implement and sustain programs addressing social determinants of health without direct claims reimbursement, according to a recent survey of 200 healthcare experts. The...

Hospital Revenue, Margins Improved in 2019 Despite Rising Expenses

by Jacqueline LaPointe

Hospitals ended 2019 on a “cautiously optimistic” note, with hospital revenue and margin seeing improved performance despite rising expenses and seesawing volumes, according to a new report...

Inpatient No Longer King as Hospital Outpatient Revenue Grows

by Jacqueline LaPointe

“Heads in beds” is no longer the motto for hospitals, which are seeing their hospital outpatient revenue nearly equal inpatient revenue, according to a new report from the Deloitte Center...

Trump Budget Eyes More Site-Neutral, Hospital Reimbursement Cuts

by Jacqueline LaPointe

President Trump’s proposed budget for the 2021 fiscal year (FY) is stirring up controversy over massive cuts to Medicare and Medicaid spending and proposals to implement work requirements and...

Hospitals Closed 2019 with An Uptick in Volume, Patient Revenue

by Samantha McGrail

Hospitals nationwide ended 2019 with an increase in hospital profitability, with increases in both net patient revenue and service volumes, according to a recent Kaufman Hall report. According to...

HHS Defends Hospital Price Transparency Rule to Judge

by Jacqueline LaPointe

Patients should be able to know the prices of services before they receive care, HHS stated in response to a lawsuit challenging the department’s most recent hospital price transparency...

CO Healthcare Costs Keep Climbing Due to Hospital Cost-Shifting

by Jacqueline LaPointe

Hospital cost-shifting is behind rising healthcare costs in Colorado, according to a new report from the state’s Department of Health Care Policy & Financing. The report found that, despite...

MedPAC Recommends 3.3% Hospital Payment Boost, No Change for Docs

by Jacqueline LaPointe

The Medicare Payment Advisory Commission (MedPAC) voted unanimously last week to recommend higher hospital payment rates to Congress later this year. The group tasked with advising Congress on issuing...

AHA, AAMC Sue HHS Again Over Outpatient Site-Neutral Payments

by Jacqueline LaPointe

Hospital stakeholders filed a lawsuit on Monday challenging HHS’ most recent attempt to implement site-neutral payments for certain outpatient services rendered in hospital settings. Contending...

PhrMA: 340B Hospitals Reimbursed 3X the Amount Paid for Drugs

by Samantha McGrail

340B hospitals are getting reimbursed three times the amount they initially paid for brand medications under the drug pricing program, according to a new analysis conducted by Milliman and commissioned...

Judge OKs 2020 Site-Neutral Payments, But Criticizes CMS Policy

by Jacqueline LaPointe

Hospitals will still get paid the reduced rate for certain clinic visits in 2020 despite a federal judge striking down the site-neutral payment policy earlier in 2019. In an opinion filed on Dec. 16...