Medicare Payment and Reimbursement

HFMA Final Rule Summary: Advancing Care Coordination Through Episodic Payment Models

This document consists of three separate summaries of CMS's final rule implementing three new Medicare Parts A and B episode payment models, a Cardiac Rehabilitation (CR) Incentive Payment Model and modifications to the existing Comprehensive Care for Joint (CJR) Replacement Model.

HFMA February 1, 2017

Expert: Outlook for Value ‘Quite Unknown’ Under New President

Robert Berenson, healthcare industry expert, says the healthcare value movement still has a ways to go to realize its full potential.

Jeni Williams January 24, 2017

Two Signs of Healthcare’s Improvement as the ACA Nears Its Denouement

Ken Perez discusses developments regarding hospital-acquired conditions and hospital readmissions.

Ken Perez January 23, 2017

Webinar: Key Healthcare Trends Will Continue Under Trump

Amid many likely changes in healthcare policy under the Trump administration, the transition to value-based care and the need to be innovative in care delivery and business processes will continue.

Lisa Zamosky January 20, 2017

HFMA Executive Summary: Episodic Payment Model for Cardiac and Hip Fractures Final Rule

This document provides ten issues providers need to understand regarding the Episodic Payment Model (EPM) for Cardiac and Surgical Hip Femur Fracture Treatment final rule.

HFMA January 18, 2017

Medicare’s Quality Initiatives Present New Management Challenges

Value-based purchasing and reduction of readmissions and hospital-acquired conditions are coming into focus for hospitals thanks to Medicare initiatives.

Paul Shoemaker December 19, 2016

Outlook for Healthcare Policy: Uncertain

Previous Republican initiatives to replace the ACA are being used to guide expectations about what a replacement measure would entail. 

Rich Daly December 19, 2016

MIPS Implementation: What Healthcare Stakeholders Need to Know

Healthcare policy expert Billy Wynne analyzes what providers need to know heading into implementation of the Merit-based Incentive Payment System (MIPS) component of MACRA.

Lisa Zamosky December 19, 2016

CY17 OPPS Final Rule Summary

This document summarizes the financial and operational impacts of CMS's CY17 OPPS final rule.

HFMA December 15, 2016

Executive Summary: CMS 2017 OPPS Final Rule

This document summarizes key financial and operational impacts from the FY17 OPPS final rule.

HFMA November 16, 2016
googletag.cmd.push( function () { googletag.display( 'hfma-gpt-leaderboard' ); } );