Reimbursement

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July 2020
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AHA: COVID-19 to cost hospitals $323 billion

Editor's Note The American Hospital Association on June 30 released a report on the financial strain facing hospitals and health systems because of COVID-19, with total losses expected to be at least $323 billion in 2020. The total included $120.5 billion in financial losses that hospitals are predicted to see…

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By: Judy Mathias
July 1, 2020
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Declines in patient visits during COVID-19 projected to cost primary care $15 B

Editor's Note Harvard Medical School researchers are projecting that primary care practices will lose more than $15 billion by the end of the year. Because of the steep decline in office visits and fee for service payments from March to May, primary care practices are expected to lose more than…

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By: Judy Mathias
June 29, 2020
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COVID-19 hospitalization costs could reach $17B this year

Editor's Note A new Avalere analysis estimates the cost of COVID-19 hospitalizations could range between $9.6 billion and nearly $17 billion this year, depending on infection and hospitalization trends, the June 23 Fierce Healthcare reports. The analysis considers the cost of hospitalizations in three scenarios: $9.6 billion, if there is…

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By: Judy Mathias
June 24, 2020
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ASC offsets some revenue loss through 'Hospital Without Walls' waiver

Far fewer cases of COVID-19 have been seen in rural areas of the US than in large urban populations. But even healthcare facilities not inundated with COVID-19 patients have sustained revenue losses and disruptions in standard procedures. One major advantage for Heartland Surgery Center in Kearney, Nebraska, was seeing the…

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By: Elizabeth Wood
June 17, 2020
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Proactive payment collection reduces bad debt risk

Establishing policies to collect payment before surgery has grown in importance as high-deductible health plans impose larger out-of-pocket costs on patients. To help manage patients’ expectations about costs and increase the likelihood of collecting payment, some experts believe a culture shift is in order. They say healthcare facilities should be…

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By: Jennifer Lubell
June 17, 2020
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CMS to make some pandemic telehealth provisions permanent

Editor's Note The Centers for Medicare & Medicaid Services (CMS) administrator Seema Verma says use of telehealth has grown dramatically during the COVID-19 pandemic, and some provisions that were extended temporarily will be made permanent, the June 2 Becker’s Hospital Review reports. During the pandemic, CMS expanded access to telehealth…

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By: Judy Mathias
June 3, 2020
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Study predicts 28 million surgical procedures cancelled worldwide because of COVID-19

Editor's Note More than 28 million elective surgical procedures worldwide will be cancelled or postponed as a result of the COVID-19 pandemic, this study estimates. Researchers from the University of Birmingham, UK, collected data from surgeons in 359 hospitals and 71 countries. The data was then statistically modeled to estimate…

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By: Judy Mathias
May 19, 2020
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CMS releases proposed inpatient payment rule for FY 2021

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on May 11 released a proposed rule that increases Medicare inpatient prospective payment system (IPPS) rates by a net of 3.1% in FY 2021, compared to 2020, for acute care hospitals participating in the Hospital Inpatient Quality Reporting Program that…

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By: Judy Mathias
May 13, 2020
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CMS announces regulatory relief for VBC programs in response to COVID-19

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on March 22 extended the deadlines for quality reporting and applications for providers, clinicians, and facilities in value-based care (VBC) programs as they face a growing number of COVID-19 patients. CMS also announced that it will not use any data…

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By: Judy Mathias
March 23, 2020
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OR business leaders anticipate growth and opportunities in 2020

Planning for volume growth and adopting best business practices for the perioperative environment were overarching themes at the 2020 OR Business Management Conference (ORBMC) in late January. Leading healthcare industry clinicians and experts offered fresh insights into competing in the burgeoning outpatient surgery market and persuading stakeholders to switch to…

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By: Elizabeth Wood
March 16, 2020
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