CMS Proposal: A Path to an Uncertain Future for 340B
CMS’s proposal to reduce rates for 340B-covered entities for separately payable outpatient drugs may indicate the Trump administration may take an aggressive approach to healthcare policy.
HFMA Comments on CY18 Physician Fee Schedule Proposed Rule
HFMA commented on CMS’s CY 2018 Physician Fee Schedule proposed rule.
Three Strikes Against the Idea that Coverage Reduces ED Use
Ken Perez describes three case studies showing that expanded coverage increases emergency department use.
How CMS Leveled the Playing Field for Hospital Readmission Penalties
A new rule finalized by CMS acknowledges that charging hospitals with higher percentages of dual eligibles the same readmission penalties as hospitals with fewer of these patients. The proposed penalty adjustment will reflect the challenges facing each hospital's populations.
Evidence-based Guidelines Can Lead ACOs Toward MACRA Success
Joe Guerriero describes opportunities for ACOs enrolled in Medicare programs.
Executive Summary: CMS 2018 IPPS Final Rule
HFMA summarizes the Centers for Medicare & Medicaid Services' 2018 Inpatient Prospective Payment System Final Rule.
Taking Control of Pay-For-Performance Contracts
To ensure their organizations perform effectively under risk contracts, healthcare finance leaders should implement a work plan to manage the contracts.
10 Critical Medicaid Trends to Watch
It is important for hospitals and health systems to forecast the impact of proposed healthcare legislation on Medicaid payments, eligibility teams, and patients.
Ask the Experts: Medicaid Billing
How should I bill New York Medicaid for services provided by non-hospital employee clinicians in emergency department settings?
Health Systems Brace for MACRA
Hospitals and health systems are working to help their physicians succeed under MACRA, which means moving quickly to advanced APMs.