Payment Reimbursement and Managed Care

What the numbers from PAC-improvement efforts show

Efforts to reduce spending on post-acute care have been shown to reduce variation in Medicare spending overall, while also reducing hospital readmissions.

Chad Mulvany, FHFMA June 30, 2019

Primary Care First Model holds promise but faces challenges

CMS's Primary Care First Model aims to create incentives for primary care physicians to take on risk under value-based payment, but whether it will be successful remains to be seen.

Gail R Wilensky, PhD June 30, 2019

Where the future in healthcare already exists

Providers may be able to learn from providers and health plans already implementing many of the innovations that leaders say are needed to lower costs and improve care.

Rich Daly June 28, 2019

Hospital executives urge colleagues to comment on upcoming transparency rules

Hospital and health leaders were urged by their colleagues to watch for and comment on coming rules implementing this week’s White House executive order on price transparency.

Rich Daly June 28, 2019

Papaya wins HFMA Virtual Pitch contest

HFMA Annual Conference attendees voted Papaya the winner of the Virtual Pitch contest.

Rich Daly June 26, 2019

How narratives can drive hospital innovation

A healthcare start-up investor says established organizations can — and must — become innovators by using the power of narrative.

Rich Daly June 26, 2019

Policy advisers urge continued Medicare ‘squeeze’ of hospital pay

Medicare can drive hospital productivity improvements and spending controls through more pay cuts, said policy advisers.

Rich Daly June 25, 2019

Hospitals express concerns on latest transparency order

A new transparency executive order will require proposed rules within two months that could require release of negotiated hospital health plan rates.

Rich Daly June 25, 2019

Analysis: New HELP draft surprise-bill legislation bases payments on geographic median rate

Recent changes to the HELP draft surprise-bill legislation indicate there is unity in Congress around calculating payments to providers for out-of-network services, but challenges to the geographic-median approach are on the horizon.

Chad Mulvany, FHFMA June 25, 2019

ZDoggMD: How to get to healthcare 3.0

Motivational healthcare speaker urges changes to encourage and allow providers to engage emotionally with patients and drive real change.

Rich Daly June 25, 2019
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