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MiraMed Global Services Podcast
10 minutes | Nov 10, 2021
The 2022 OPPS Rule: What Hospitals Need to Know
Today's podcast takes a closer look at the just released 2022 Hospital Outpatient Prospective Payment System (OPPS) and ASC Payment System Final Rule (FR). Take a listen!
7 minutes | Nov 9, 2021
Assessing the Cost of Healthcare: AHA Issues Report
There's no doubt about it: Nicholas Cage is one of America's finest actors. In fact, he is so good at his craft that he has been among Hollywood's highest-paid personalities, amassing at one point $150 million in acting fees. That's quite a chunk of change. However, the Academy Award winner lost much of his fortune due to questionable spending habits. It wasn't like his National Treasure was Gone in Sixty Seconds, but over a period of time he eventually found himself broke and in trouble with the IRS. What could have possibly happened? Some suggest it was his purchase of the dinosaur bones or the 50 vehicles or the 15 estates and two castles, or any number of exotic acquisitions with which he has been associated over the years. Perhaps it would have helped to take an inventory of his balance sheet from time to time. It's a good idea, you know. We should all make time, on a periodic basis, to take stock of where we are from a financial standpoint. That goes for hospitals, as well; and, to that end, one organization is leading the way. Last month, the American Hospital Association (AHA) produced a report that sought to gauge the costs generally incurred by America's hospitals and health systems. The report, released late last month, addressed several drivers of hospital spending, which we will summarize in today's podcast. Take a listen!
7 minutes | Oct 27, 2021
Winners and Losers: Reviewing CARES Fund Distribution
Breakdown of how the CARES Act funds were distributed to hospitals due to the COVID-19 pandemic.
7 minutes | Oct 13, 2021
The Surprise Billing Final Rule: Reactions and Implications
The No Surprise Act Final Rule initiated some "surprised" reactions from various healthcare organizations. Today's podcast takes a closer look.
8 minutes | Oct 7, 2021
Reassessing the No Surprises Act: Final Rule Released and Analyzed
This episode breaks down the No Surprises Act final rule (FR) which further defines provisions of the previously passed bill which aims to protect beneficiaries from unexpectedly high medical bills. This FR outlines a new independent dispute resolution process, good faith estimate requirements and patient/provider dispute resolution process for uninsured individuals. Take a listen!
7 minutes | Sep 14, 2021
New Help for Hospitals? The AHA Weighs In
Senators and U.S. representatives cannot come up with everything on their own. They have a staff and a team of legal experts who help craft and review legislation. But that's not all they have. They depend, in large measure, on advice and counsel coming from those who are experts in a particular field. In other words, they give ear to lobbyists, often allowing such individuals to help write provisions that become law. It is with this dynamic in mind, that we provide you with today's article.
9 minutes | Sep 9, 2021
2022 Proposed Physician Fee Schedule: Part 2
Last week, we published an alert that outlined some of the key provisions of the Medicare Physician Fee Schedule (PFS) Proposed Rule (PR) for 2022 that may affect hospitals. As promised in that alert, this week's article will provide additional details arising from the 2022 PR.
9 minutes | Sep 9, 2021
2022 Proposed Medicare Fee Schedule: How Hospitals Could Be Affected
It's that time of year again. Last week, the government released the 2022 Medicare Physician Fee Schedule (PFS) Proposed Rule (PR), and there are some interesting changes that may be in store for hospitals. The following treatment is based on what we've gleaned from summaries of the PR released by the Centers for Medicare and Medicaid Services (CMS) and the American Hospital Association (AHA).
8 minutes | Jul 9, 2021
No Surprise Act Interim Final Rule: Some Questions Get Answered
On July 1, 2021, the Department of Health and Human Services (HHS), the Department of Labor, and the Department of the Treasury released an interim final rule (IFR) that acted to flesh out some of the provisions of the No Surprises Act (NSA), scheduled to go into effect next year.
9 minutes | Jun 30, 2021
In the Eye of the Storm: Will the Current Recovery Last?
Right now, the American hospital industry seems to be recovering nicely from a devastating year of elective surgery cancelations, overworked staff, major shifts in care parameters, and a dip in case-related revenue.
7 minutes | Jun 25, 2021
Update on COVID Relief Requirements: Extension of Usage and Reporting Deadlines
There’s recently been a change of plans by the federal government that will positively affect many of America’s hospitals.
9 minutes | Jun 18, 2021
The Alzheimer’s Apocalypse? Future Occupants of America’s Hospitals
Something strange happened in Cleveland late last month. Joe Biden was giving a speech on the economy when he made the following statement: “You know, if we don’t do something about Alzheimer’s in America, every single solitary hospital bed that exists in America—as the nurses can tell you—every single one will be occupied in the next 15 years with an Alzheimer’s patient—every one.”
8 minutes | Jun 10, 2021
In the Event of an Emergency: A Growing Pushback over ER Services
We've all witnessed occasions where someone who's had a tumble, but looks to be unharmed, is nevertheless encouraged to go to the emergency room to have a once-over—just to be sure. Now, however, you'd have to stop and give that some additional thought, because we are seeing increasing signs that payers are beginning to redefine what they deem to be reasonable and payable emergency department (ED) services.
8 minutes | Jun 8, 2021
Trouble in Paradise: When Staff Strife Gets Serious
It is sad when relations between fellow humans devolve into strife, leading to hard feelings and demoralization. While violence rarely erupts in today’s business world, there are still those occasions when owner and employee are at odds. Sometimes, the employee resentment—whether reasonable or not—can transform into serious action. In recent days, we have seen such action on the part of employees bubble over in American hospitals. Let’s look at two notable examples.
9 minutes | May 27, 2021
AHA v HHS A Clash of Two Heavyweights
The United States Supreme Court may soon serve as the arena for a battle between a couple of organizational heavyweights, with one substantially outweighing the other. In one corner is the American Hospital Association (AHA). While strong and influential, it cannot compare to the unmatched might of the federal government, as represented in this legal contest by the U.S. Department of Health and Human Service (HHS) and its new secretary, Xavier Becerra
8 minutes | May 21, 2021
The 2022 IPPS Proposed Rule: Part 3
Today's article will conclude our look at the massive 2022 IPPS Proposed Rule (PR). So far, we've summarized how the PR treats topics such as payment rates, quality measures, negotiated payment disclosure, residency programs and efforts to reduce hospital readmissions. Based on a summary of the PR released by the Centers for Medicare and Medicaid Services (CMS), we will now provide some of the remaining highlights of the government's proposed changes impacting hospitals in FY 2022.
9 minutes | May 19, 2021
Summary of 2022 IPPS Proposed Rule: Part Two
Today’s article is a continuation of last week’s treatment of Medicare’s 2022 Inpatient Prospective Payment System Proposed Rule (PR), released in late April. As we pointed out previously, the PR contains over 1,900 pages of proposals. Consequently, we have found it necessary to break down the proposed changes among multiple alerts so that we might provide as many relevant highlights as possible to our readers. With that said, the following will act to summarize more details in the PR—beyond what we summarized last week—that hospital executives and clinicians will find most relevant.
9 minutes | May 6, 2021
2022 IPPS Proposed Rule: Possible Changes for Hospitals
Last week, the Centers for Medicare and Medicaid Services (CMS) released its Fiscal Year (FY) 2022 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital (LTCH) Rates Proposed Rule, along with a fact sheet that acts to summarize the critical parts of the proposals. The following will highlight some of the more critical components of the Proposed Rule (PR). As the PR is over 1,900 pages long, our summary will be provided in a multi-part series of alerts.
9 minutes | Apr 29, 2021
No Place Like Home: Analyzing the Hospital at Home Model
The HAH model today is seen as beneficial for older patients and those with chronic diseases, such as asthma, congestive heart failure and COPD. It has the added benefit of alleviating space in hospitals that have otherwise reached capacity. As the American population continues to age, this model of care will be seen as an increasingly appealing option for both facilities and patients.
9 minutes | Apr 27, 2021
An Uncertain Sound: Contradictory Signals in the Battle Against COVID
In the midst of a declared public health emergency (PHE), it is more important than ever to receive direction from our leaders that is both consistent and supportable. Vacillation and mixed messages are not a good look. The question is: are recent announcements concerning the ongoing COVID event creating confusion among the general population and even healthcare workers?
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