10 States Far Exceed National Average for Average Charge per Medicare Admission
In U.S. 10 states, the average charge per admission far exceeds the same measure for any of the remaining states, significantly surpassing the national average for the measure.
Executive Summary: Episodic Payment Model (EPM) Cancellation Proposed Rule
This document provides a brief summary of the Episodic Payment Model (EPM) cancellation proposed rule, published by CMS.
HFMA Submits Recommendations to Medicare Red Tape Relief Project
HFMA submitted recommendations to the Committee on Ways and Means, Subcommittee on Health.
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.
Hospice Programs Save Costs, Reduce Readmissions
Applying hospice home based skills to hospital care and strategic planning may reduce patient stays.“There are many lessons hospitals can learn from hospice providers,” says John Mastrojohn III, executive vice president and COO of the National Hospice and Palliative Care
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.
Catching Up on Your MIPS Strategy
A MIPS implementation plan involves creating a team, choosing metrics and a reporting mechanism, and looking at the new Medicare Part B payment model as part of your broader payer strategy.
Proposed 2018 OPPS/ASC Rule Summary
This document provides a detailed summary of the CY 2018 OPPS/ASC proposed rule, published by CMS.
Medicare Advantage 2.0: Next Generation Growth Strategies
Healthcare organizations looking to expand their Medicare Advantage programs should look to market data for guidance.