Medicare Payment and Reimbursement

Executive Summary – Final MSSP Benchmarking Rule

This document summarizes the Centers for Medicare & Medicaid Services's (CMS's) long awaited rule finalizing changes to the Medicare Shared Savings Program (MSSP) benchmark rebasing methodology, published in the June 10, 2016, Federal Register.

HFMA June 17, 2016

HFMA Comments on CMS’s FY17 IPPS Proposed Rule (CMS 1665-P)

HFMA submitted a comment letter to CMS on the FY17 Medicare Program Proposed Rule published in the April 27, 2016, Federal Register.

HFMA June 16, 2016

HFMA Comments on CMS’s Part B Drug Payment Model Proposed Rule

This document contains HFMA's comments to CMS on the proposed changes to Medicare’s reimbursement methodology for separately payable Part B drugs.

HFMA May 9, 2016

Proposed Rule: Medicare Inpatient Hospital Operating and Capital Payment for Fiscal Year 2017

This document summarizes proposed payment rate updates to hospitals under the inpatient prospective payment system for fiscal year 2017.

HFMA May 5, 2016

Executive Summary: CMS 2017 IPPS Proposed Rule

This document provides an overview of the key financial and operating impacts of the FY17 IPPS proposed rule.

HFMA May 5, 2016

Summary of CMS’s Comprehensive Primary Care Plus (CPC+) Model

This document summarizes important details of CMS's Comprehensive Primary Care Plus (CPC+) model.

HFMA April 29, 2016

Ask the Expert: Payers Linking Cancellations of Separate Contracts

How can providers respond when payers threaten to terminate a Medicare Advantage contract if the provider terminates their separate commercial contract?

HFMA April 7, 2016

HFMA Comments on CMS’s Proposed Changes to the Medicare Shared Savings Program

HFMA submitted a comment letter to CMS on the proposed changes to the Medicare Shared Savings Program (MSSP) benchmarking and trending methodologies published in the February 3, 2016, Federal Register.

HFMA March 30, 2016

Medicare Overpayments Final Rule Fact Sheet

This fact sheet summarizes the final rule published by CMS requiring providers and suppliers receiving funds under the Medicare program to report and return overpayments. 

HFMA March 22, 2016

Medicare Program; Part B Drug Payment Model Summary of Proposed Rule

This document summarizes the important details of CMS's proposal to test a new payment model called the Part B Drug Payment Model.

HFMA March 22, 2016
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