Payment Reimbursement and Managed Care

More Than 15 Percent of Providers Depart BPCI Advanced

One in seven providers in the largest Medicare bundled payment model left after five months, new data reveal. But that may be good news for the program.

Rich Daly May 3, 2019

Why More than 15 Percent of Providers Are Departing BPCI-Advanced

Read why more than 15 percent of BPCI-Advanced providers are departing the program.

Chad Mulvany, FHFMA May 3, 2019

Interoperability and Patient Access to Health Data Proposed Rule Summary

This document summarizes the proposed rule on interoperability and patient access to health data, published by CMS, in the March 4, 2019, Federal Register.

HFMA March 6, 2019

HFMA Offers Recommendations to Senate to Reduce Total Cost of Care while Improving Patient Outcomes

This letter contains HFMA's recommendations to the Senate HELP committee on ways to reduce the total cost of care while improving patient outcomes.

HFMA March 5, 2019

Community Benefit & Transparency Tools

HFMA has compiled these resources for hospitals and health systems to use for compliance when listing standard charges to the public and procedures around charity care.

HFMA February 28, 2019

HFMA’s Payment Reform Project White Papers

HFMA has led a payment reform thought leadership initiative to identify the principles that should guide changes to the current healthcare payment system and the competencies that providers will need to succeed. The initiative's findings and recommendations are summarized in these white papers. 

HFMA February 28, 2019

Q&A: Do Price Transparency Regulations Improve the Patient Experience?

Two healthcare finance leaders explain why their organizations are placing more emphasis on patient education and customer service than on new regulations surrounding charge transparency.

Elizabeth Barker February 26, 2019

Provider Nimbleness Required for Diverse Value-Based Healthcare Models

Providers must be nimble to adapt to new value-based healthcare strategies.

Theresa Hush February 26, 2019

National Hospital Survey Shares Insight into CMS’s Price Transparency Requirement

Hospitals expressed uncertainty about the usefulness of information supplied in response to CMS’s IPPS transparency requirements, but also recognize that the rule amplifies healthcare industry efforts to provide meaningful price estimates for healthcare services. 

Jamie Cleverley February 21, 2019

340B Ruling: Good News for Some, Maybe

340B-eligible facilities are unsure of the fate of the 340B discount drug program as they await a U.S. District Court ruling on remedies that could further alter payments.

J. Stuart Showalter February 20, 2019
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