Reimbursement

Analysis: Walmart’s Sam’s Club unveils discount healthcare pilot program

A review of the Walmart Sam’s Club discount healthcare pilot program in three states and how the insight the company gleans about utilization and customer preferences will inform its health clinic concept pilot.

Chad Mulvany, FHFMA October 8, 2019

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.

HFMA October 8, 2019

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.

HFMA October 7, 2019

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.

Allen Miller, MPH October 5, 2019

Oct. 7-11: CMS listening session for hospitals among key industry events

Healthcare finance policy events for the week of Oct. 7.

Rich Daly October 4, 2019

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.

Douglas Ardoin Jr., MD, MBA October 3, 2019

5 actions leaders can implement for success

Leaders of health systems should take five actions to help their organizations achieve success under Medicare value-based payment arrangements.

Sheila H. Fusé October 3, 2019

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.

Douglas Ardoin Jr., MD, MBA October 3, 2019

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.

Ken Perez October 3, 2019

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.

Chad Mulvany, FHFMA October 3, 2019
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