Medicare Payment and Reimbursement

4 goals for bundled payment: How a hospital succeeded under BPCI-A

Abington Hospital has enjoyed success under the Bundled Payments for Care Improvement Advanced model by focusing on four key goals, including identifying episodes with sufficient opportunities to reduce costs below CMS’s target prices.

Erin Hahn, MPH December 9, 2019

OPPS final rule keeps site-neutral payments and 340B cuts, leaves out transparency requirement

The Medicare OPPS final rule will continue 340B and site-neutral payment cuts but leaves out the requirement to post rates negotiated with health plans.

Rich Daly December 6, 2019

Dec. 9-13: Hearing on proposals to expand government insurance coverage is among upcoming healthcare finance events

A complete listing of healthcare finance-related hearings, conferences, webinars, public forums and deadlines for the week of Dec. 9.

Rich Daly December 6, 2019

How CMS sets the target price for bundles under BPCI-A

Read a description of CMS's method for setting episode target prices under its Bundled Payments for Care Improvement Advanced model.

Erin Hahn, MPH December 2, 2019

It’s time to acknowledge the success of CMS’s MSSP

Eye on Washington: The Medicare Shared Savings Program has achieved some noteworthy successes, and the program's continued ability to be successful will depend on physician leadership and involvement.

Ken Perez December 2, 2019

Dec. 2-6: HFMA Seminars are among upcoming healthcare finance events

HFMA Seminars are among the major healthcare finance events taking place the week of Dec. 2.

Rich Daly November 27, 2019

Take this job and shove it: 2 PTAC members quit in frustration over CMMI opposition to committee recommendations

The result of CMMI’s reluctance to accept recommendations from the field is one of many factors that stymies the transition to value.

Chad Mulvany, FHFMA November 26, 2019

Nov. 25-29: CMS comment deadlines are among the week’s healthcare finance events

Deadlines to comment on various CMS initiatives affecting hospitals are among the major healthcare finance events taking place the week of Nov. 25.

Rich Daly November 21, 2019

White House healthcare leader expresses skepticism of mandatory models

The Trump administration’s healthcare policy leader was openly skeptical about further use of mandatory payment models after Medicare has added several in recent years.

Rich Daly November 14, 2019

Why the Trump administration is pursuing hospital payment cuts that courts have rejected

The Trump administration is continuing to push hospital payment cuts rejected by courts to make the case to Congress that new laws are needed, according to a senior White House official.

Rich Daly November 13, 2019
googletag.cmd.push( function () { googletag.display( 'hfma-gpt-leaderboard' ); } );