Medicare Payment and Reimbursement

CY2019 Home Health Prospective Payment System Proposed Rule: HFMA Executive Summary

This document summarizes the proposed rule updating payment rates under the home health PPS for CY2019, published by CMS.

HFMA July 18, 2018

Azar Promises Drugmaker Penalty Rule Coming

July 9—A five-times-delayed rule that would stiffen drugmaker penalties—among other provisions—will be implemented, the Trump administration’s healthcare policy leader told providers on Monday.

Rich Daly July 10, 2018

Transparency, Interoperability, DSH Changes Lead Hospital IPPS Concerns

July 6—Hospital advocates recently raised a range of concerns about proposed Medicare payment policy changes, including transparency and interoperability requirements and a new way to calculate uncompensated care payments.

Rich Daly July 9, 2018

HFMA Comments on FY2019 IPPS Proposed Rule

HFMA submitted comments to the Centers for Medicare & Medicaid Services (CMS) on the FY2019 IPPS proposed rule published in the May 7, 2018, Federal Register.

HFMA June 26, 2018

Will CPC Model’s Failings Follow into CPC+?

June 1—Improving the practice of medicine at the primary care level by deploying massive, publicly-funded incentives is complicated, but doable on the margins.

Joseph Conn June 1, 2018

FY2019 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Requirements

This document summarizes the FY2019 proposed rule updating the hospice wage index and payment rates.

HFMA May 31, 2018

Bundled Payments for Care Improvement Advanced: 5 Critical Issues

When considering whether to participate in the Bundled Payments for Care Improvement Advanced program, hospitals and health systems should examine five key areas that could affect their performance under the program.

John M. Harris, MBA May 30, 2018

Areas of Healthcare Policy Agreement Would Target Hospitals

May 25—Emerging areas of bipartisan health policy agreement include hospital-targeted policies, according to policy experts.

Rich Daly May 29, 2018

Decoding MSPB: Trending Better Faster

Dale Schumacher and Fern Nerhood describe how trends in Medicare spending per beneficiary can affect hospital finances.

Dale N. Schumacher May 16, 2018

340B Targeted in Trump Administration Drug Push

May 15—Hospital advocates and others raised concerns about impacts of the Trump administration’s recently announced initiative to address rapidly rising drug prices in part through policy changes to an existing drug discount program.

Rich Daly May 15, 2018
googletag.cmd.push( function () { googletag.display( 'hfma-gpt-leaderboard' ); } );