HFMA Comments on the Proposed Rule on the Medicare Shared Savings Program
HFMA commended CMS for its efforts to modify the Medicare Shared Savings Program (MSSP) to ensure its sustainability. However, HFMA had specific recommendations for improvement.
Medicare Shared Savings Program Proposed Rule Fact Sheet
This fact sheet summarizes proposed changes by CMS that would update policies governing the Medicare Shared Savings Program.
Accounting for Non-Performance-Related Variation in Shared Savings Contracts
Variation between targeted and actual PMPM costs can be due to numerous factors, including many that have nothing to do with the quality or cost of care provided to ACO members.
Value-Based Reimbursement Resource
This too contains useful information on CMS's Value-Based Purchasing Program and other initiatives that will help improve the quality of care in hospitals.
CY15 OPPS Final Rule Fact Sheet
This fact sheet highlights payment rate updates under the OPPS for CY15.
FY15 IPPS Final Rule Overview
This document highlights important updates to the 2015 payment rates to hospitals under the FY15 Inpatient Prospective Payment System final rule.
HFMA comments to CMS on the 2015 Medicare OPPS Proposed Rule
HFMA comments the 2015 Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Physician-Owned Hospitals: Data Sources for Expansion Exception; Physician Certification of Inpatient Hospital Services; Medicare Advantage Organizations and Part D Sponsors: Appeals Process for Overpayments Associated With Submitted Data; Proposed Rule (hereafter referred to as the 2015 OPPS Proposed Rule) published in the July 14, 2014, Federal Register.
CY15 OPPS Proposed Rule Fact Sheet
This document provides an overview of the CY15 proposed changes to payment rates under the outpatient prospective payment system (OPPS).
HFMA Comments on CMS’s Proposed Inpatient Hospital PPS Rule for FY15
HFMA submitted a comment letter on key issues contained in CMS's Proposed Rule for FY2015 PPS for inpatient hospitals. Significant concerns relate to DSH, HACs, VBP, short stays, and other issues.
FY15 IPPS Proposed Rule Overview
This document summarizes important proposed updates to payment rates to IPPS hospitals for FY15.