Healthcare Financial Management

Every month, hfm shares insights and methods to help organizations cut costs, boost revenue, and handle risks effectively. They offer valuable information tailored for busy CFOs, featuring articles written by leading experts or insights gained from conversations with industry pioneers.

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Health systems say the budget reconciliation bill is bad news

1 week ago | hfma.org | Nick Hut

Even before a Senate committee produced legislative text that would increase the Medicaid cuts in the budget reconciliation bill, hospitals were preparing to amplify their opposition to the bill. The changes wrought by the Senate are likely to make the matter more urgent for hospitals that could be exposed to potentially significant revenue declines.
Analyses reflect the potential hospital strain of the budget reconciliation bill

1 week ago | hfma.org | Nick Hut

With the looming release of key updates to the budget reconciliation bill, recent analyses have sought to project the impact on rural hospitals and healthcare providers overall. Any day now, the Senate Finance Committee is expected to publish most of the healthcare proposals that would be part of the bill also known as the One Big Beautiful Bill Act. Those provisions could differ from the version passed by the House, which then would have to vote on the Senate’s bill.
HHS restructuring and the federal budget

1 week ago | hfma.org | Erika Grotto

HFMA’s Nick Hut and Shawn Stack talk about the latest from Washington. About the Author is a senior editor at HFMA and is based in Downers Grove, Ill.
New taxes could hit hospitals as a result of the budget reconciliation bill

2 weeks ago | hfma.org | Nick Hut

As congressional Republicans continue their discussions on the budget reconciliation bill, not-for-profit (NFP) hospitals should be aware of items that have gotten less attention than the retrenchment of Medicaid and Affordable Care Act coverage. The version passed by the House on May 22 includes new or expanded taxes that could affect NFP hospitals.
Indiana law with big implications for hospital pricing may be a bellwether

2 weeks ago | hfma.org | Nick Hut

A landmark hospital pricing bill that recently became law in Indiana could foreshadow similar developments in other states. Indiana hospitals will face both a tax penalty and the loss of their tax-exempt status if their prices exceed designated limits. The limits, to be determined via a formula set by the state’s Office of Management and Budget, will reflect the average of all Indiana hospital prices for inpatient and outpatient procedures.
Why pending healthcare policies look so daunting for hospitals

2 weeks ago | hfma.org | Nick Hut

For both revenue and costs, ongoing policy developments pose a risk of aggravating trends that already are constraining hospital budgets. The budget reconciliation bill in Congress and the imposition of extensive tariffs would add to ongoing pressures on hospital financials. Bad debt levels are rising among not-for-profit hospitals, as are supply costs, and those issues could become more severe if policies remain on their current track.
Why Medicare Advantage provisions could end up in the budget reconciliation bill

3 weeks ago | hfma.org | Nick Hut

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Insurers, patients pay less of their bills

3 weeks ago | hfma.org | Paul Barr

Healthcare providers faced growing challenges last year in getting paid for care among patients covered by insurance, according to new benchmark data from Kodiak Solutions. And it was both insurers and patients who were lagging in payment or not paying at all. Denials of coverage by health plans, already a problem in 2023, increased during 2024, Kodiak’s numbers show. Overall initial denial of coverage rates climbed to 11.81% of claims in 2024 from 11.53% the previous year.
The financial cost of hospital and community violence

3 weeks ago | hfma.org | Nick Hut

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Jill Geisler: Why DOGE’s firing fiascos can create trickle-down distrust

3 weeks ago | hfma.org | Jill Geisler

We work hard to create atmospheres where people enjoy coming to work, get feedback that matters, deliver results — and trust their leaders. Trust matters. It’s tough to earn and easy to lose. All it takes is a few bad decisions. That’s why I’ve been appalled at the treatment of federal employees during the DOGE rampages. This is not a political issue. It’s purely about process.