Medicare Payment and Reimbursement

How to lay the foundations for success under CMS’s new MDC program

The CMS Medicare Direct Contracting (MDC) program offers hospitals and health systems a unique opportunity take the next step in value-based payment and population health management. Success requires the right targeted investments in expertise and infrastructure.

Allen Miller, MPH September 28, 2020

More policymaking likely as the 2020 presidential election approaches

HFMA's Chad Mulvany says given the Trump administration’s focus on transparency, it’s possible the Transparency in Coverage final rule could be released prior to the election.

Chad Mulvany, FHFMA September 22, 2020

Mandatory Medicare ESRD model to launch in January 2021

A mandatory model for 30% of the clinicians and facilities treating kidney failure will launch Jan. 1.

Rich Daly September 21, 2020

CMMI announcement foreshadows more mandatory bundled payment models

HFMA's Chad Mulvany says based on recently announced changes to BPCI-A episodes, a mandatory model may be defined much broader than currently.

Chad Mulvany, FHFMA September 17, 2020

What can healthcare providers expect now that a COVID-19 relief package failed a procedural vote in the Senate

HFMA's Chad Mulvany says it’s not surprising the GOP's COVID-19 relief measure failed, given the package was negotiated without input from Democrats.

Chad Mulvany, FHFMA September 15, 2020

Despite the pandemic, hospitals continue to shift toward value-based payment

Hospitals plan to continue moving to value-based payment despite obstacles to caring for patients under risk-based contracts amid the COVID-19 pandemic.

Rich Daly September 10, 2020

Why Walmart is partnering with Oak Street on three in-store clinics in the Dallas-Fort Worth area

HFMA's Chad Mulvany says Walmart's partnership with Oak Street is due to Oak Street’s reputation for developing a patient-centric care model.

Chad Mulvany, FHFMA September 10, 2020

HFMA provides insight into 3 key areas of CMS’s 2021 IPPS final rule

HFMA's Chad Mulvany offers insight on key areas of the Inpatient Prospective Payment Service final rule, including market-based MS-DRG weights, Uncompensated Care DSH and Medicare bad debt requirements.

Chad Mulvany, FHFMA September 9, 2020

CMS finalizes requirement for hospitals to report MA plan rates

Rich Daly September 3, 2020

Pandemic increases pressures for rural hospitals struggling pre-COVID-19

HFMA's Chad Mulvany says weakened rural providers will likely seek to align more closely or be acquired by a larger healthcare system or merge with one another to gain economies of scale.

Chad Mulvany, FHFMA September 2, 2020
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