Information imperatives for successful payer-provider collaboration
A roundtable of payer and provider leaders examines the importance of transparent communication, relationship-building and robust data sharing amid the transition to value-based care.
Strategic Financial Planning Fall 2019 Issue
The Strategic Financial Planning newsletter Fall 2019 issue features articles on price transparency, bond underwriters, direct contracting, M&As and business ethics.
Direct contracting models offer promise of expedited shift to value-based care
CMS’s Direct Contracting Models offer providers some substantial benefits, including access to capitation payments for Medicare fee-for-service members — without the investment costs in brokers and marketing to move members into Medicare Advantage.
3 features that distinguish BCPI-A from its predecessor
There are three primary ways in which the Bundled Payments for Care Improvement Advanced (BCPI-A) differs from the original BPCI model.
How to present data to physicians to obtain their buy-in for a BCPI-A initiative
Healthcare administers should take four actions when presenting data to physicians to elicit their support for a initiative under the Bundled Payments for Care Improvement Advanced model.
What’s the outlook for prescription drug price legislation given the bipartisan efforts underway
Eye on Washington: There appears to be bipartisan support in the U.S. Senate for legislation aimed at addressing the issue of high prescription drub prices.
Analysis: How a longer-term delay to Medicaid DSH cuts may play out
A review of CMS’s recent rule finalizing the ACA’s mandated Medicaid DSH cuts for FY2020 and how it may play out if some legislators demand changes to the rule.
3 starter steps for health systems pursuing value-based contracts
A health system's ability to succeed under any of the new Medicare value-based payment programs will depend on how effectively it meets 3 strategic imperatives for effective performance in risk contracts.
Analysis: Tennessee proposes an overhaul to funding of its Medicaid program
HFMA's Chad Mulvany reviews Tennessee’s proposal to overhaul funding of its Medicaid program and shares why CMS is likely to reject it.
New payment and service delivery models defined
A brief outline of new payment and service delivery models launched by the Centers for Medicare & Medicaid Services