Hospital Reimbursement

TX Hospitals to Receive $1B Boost in Medicaid Reimbursement

by Jacqueline LaPointe

The gap between what hospitals actually spend to treat Medicaid patients and the Medicaid reimbursement amount for that care will get about $1 billion smaller in 2021. Texas Governor Greg Abbott...

AHA Projects $323B in COVID-19 Hospital Financial Losses in 2020

by Jacqueline LaPointe

The American Hospital Association (AHA) is projecting hospital financial losses to deepen by an additional $120.5 billion from July 2020 through December 2020, bringing total losses to at least $323.1...

FAH Wants More Time, Lower Rates on Advance Medicare Payments

by Jacqueline LaPointe

The Federation of American Hospitals (FAH) is demanding more time to repay advanced Medicare payments made to hospitals during the COVID-19 pandemic. For more coronavirus updates, visit...

Providers Must Act Today to Receive Additional Coronavirus Relief

by Jacqueline LaPointe

Providers need to take action by today to be eligible for additional coronavirus relief payments, HHS warned on its website. For more coronavirus updates, visit our resource page, updated twice...

Hospital Volume Recovery Sluggish Despite More Outpatient Visits

by Jacqueline LaPointe

The COVID-19 pandemic led to a dramatic reduction in hospital volumes and consequently revenues, but the providers are slowly starting to recover as patients seek more outpatient care, according to new...

CMS Issues COVID-19 Billing Updates for Hospitals, Alternate Sites

by Jacqueline LaPointe

New and updated COVID-19 billing guidance from CMS aims to help hospitals and alternate care sites get paid for care rendered during the public health emergency. For more coronavirus updates, visit...

OIG to Audit $50B in Coronavirus Relief Funds Given to Providers

by Jacqueline LaPointe

The Office of the Inspector General (OIG) at HHS recently announced that it will audit the distribution of $50 billion in coronavirus relief funds to hospitals and other eligible healthcare...

1 in 5 Hospital Execs Expect Revenue Declines of Over 30% in 2020

by Jacqueline LaPointe

Nearly all hospital and health system executives recently surveyed by the Healthcare Financial Management Association (HFMA) anticipated their organizations’ revenues to be lower at the end of...

Volume Declines Drive Hospital Operating Margins Down 282% in April

by Jacqueline LaPointe

In the first full month hospitals battled the effects of the COVID-19 pandemic, hospital operating margins were down by 282 percent compared to the same period last year and 326 percent below budget,...

How COVID-19 Has Impacted Top Clinical Service Lines at Hospitals

by Jacqueline LaPointe

Year over year clinical service line volumes continue to drop further across most major specialties as inpatient and outpatient volumes still experience declines from the COVID-19 crisis, according to...

Hospital Payer Mix Influenced Size of Coronavirus Relief Funding

by Jacqueline LaPointe

Hospital payer mix played a large role in how much hospitals received from the recent $50 billion in federal coronavirus relief funding, Kaiser Family Foundation revealed in a new analysis. For more...

Hospital Visits Reached Record Low in April as COVID-19 Spread

by Jacqueline LaPointe

The COVID-19 pandemic has had an unprecedented impact on hospital visits, driving volumes to record lows. But patient volumes could be on the upswing as elective procedures resume, TransUnion...

AHA: Hospitals Losing $50.7B a Month Fighting the Coronavirus

by Jacqueline LaPointe

Hospitals and health systems are slated to lose $202.6 billion from March 1, 2020, through June 20, 2020, from fighting the novel coronavirus, with financial losses averaging about $50.7 billion per...

Hospital Revenue Falling $1.4B A Day As Patient Volume Drops

by Jacqueline LaPointe

Hospital revenue is dropping by an average of $1.4 billion per day as COVID-19 continues to impact patient volumes, according to a new Crowe RCA Benchmarking analysis. For more coronavirus updates,...

HHS Gives $22B to Hospitals in COVID-19 Hotspots, Rural Areas

by Jacqueline LaPointe

HHS is distributing $22 billion in payments to hospitals with large numbers of COVID-19 inpatient admissions and rural providers, according to a recent announcement. For more coronavirus updates,...

CMS Reveals More Flexibility with Medicare Payment, MSSP Changes

by Jacqueline LaPointe

In an effort to bolster the healthcare system’s response to COVID-19, CMS recently unveiled additional Medicare payment flexibilities for providing telehealth, value-based care, and care outside...

HHS Unveils Plan to Divvy Up Rest of $100B Provider Relief Fund

by Jacqueline LaPointe

HHS recently announced its plans for distributing the rest of the $100 billion provider relief fund from the Coronavirus Aid, Relief and Economic Security (CARES) Act, including $10 billion to...

Hospitals Slated to Get $75B from New Coronavirus Relief Bill

by Jacqueline LaPointe

UPDATED 04/24/2020: The House passed the coronavirus relief bill on April 23. The bill is on the president's desk. Hospitals are to get another $75 billion in emergency funding for combatting...

CMS Pays Out $34B in Advance Medicare Reimbursement to Providers

by Jacqueline LaPointe

UPDATED 04/04/2020: CMS has now approved over $51 billion in accelerated and advance Medicare reimbursement for providers, according to a news alert emailed to journalists on April 9. In a...

Hospital Reimbursement for Uninsured COVID-19 Cases May Total $42B

by Jacqueline LaPointe

Hospital reimbursement for the treatment of uninsured COVID-19 patients could account for more than 40 percent of the $100 billion earmarked for hospitals in the latest coronavirus stimulus package,...