Reimbursement
Operating cash flow margins for nonprofit hospitals fell to a median 7% in 2020.
The financing option integrates care delivery with revenue cycle management, VP says.
Many insurers claim they can charge patients, with COVID-19 vaccines obtainable, according to Dr. Kao-Ping Chua.
Hospitals can decrease denials by having physicians involved in the mid-revenue cycle review process.
The provisions would increase coverage for millions. House leaders indicate they want a decision this month.
Between 2015 and 2019, spending increased by 21.8%, or $1,074 per person, with prices rising and utilization declining.
The average estimated allowed amounts rose 76.4%, while the average Medicare reimbursements rose 4.7% from 2017 to 2020.
The American Hospital Association claims the rule is a windfall for insurers, while BCBSA calls it a “win for patients.”
The rule includes a payment dispute resolution process for uninsured or self-pay individuals, and outlines requirements for cost estimates.
Part D prescription drug coverage is rising to $33 per month, compared to $31.47 in 2021.