12 details to know about the IPPS final rule
CMS issued a final rule for Medicare hospital IPPS payments in FY20.
Analysis: Medicare sequester extended as part of debt ceiling deal | HFMA
Healthcare providers should note that an extension of the Medicare sequester is part of the debt ceiling deal reached July 22.
Analysis: CBO says surprise-bill legislation reduces the deficit
The possible impact on physician payment rates from the Senate Help Committee’s legislation related to surprise bills has garnered strong support for an arbitration provision from the healthcare industry.
Analysis: CMS releases 2018 QPP participation results
A review of the results of the 2018 CMS Quality Payment Program and what’s increasing the percentage of physicians participating.
Why PAC discharge choices are key to success under risk-based payments
As demonstrated by the experiences of two health systems, developing an effective post-acute care strategy requires a focus on the discharge-planning process, stakeholder engagement, and data to promote stakeholder awareness.
Analysis: Deadline passes for NC state employee Medicare reference pricing contract
An overview of the North Carolina Clear Pricing Project, its contract deadline passing and how North Carolina’s hospitals have reacted to the CPP.
Analysis: Results from Medicare’s mandatory joint replacement bundle
A discussion of the results of the Medicare Comprehensive Care for Joint Replacement program and three keys to implementing a successful PAC management program.
Analysis: The July 9 appeal of the lower court’s decision overturning the ACA
A review of the merits of the July 9 hearing on the ACA lawsuit and the question of whether the 20 state attorneys general and House of Representatives have standing to challenge the ruling that found the ACA unconstitutional.
Single-payer concept for U.S. healthcare requires close fiscal scrutiny
The concept of "Medicare for All" has been a focus of much debate leading up to the 2020 presidential election, and the likely cost of such a program is an important factor that needs to be considered.
Why hospital outpatient physical therapy is a good revenue source I HFMA
It makes good business sense for health systems to make outpatient physical therapy a priority given the payment landscape for such services and the value they can provide.