Payment Reimbursement and Managed Care

Medicare Shared Savings Program 2019 Final Rule: HFMA Executive Summary

This document briefly highlights noteworthy details of the 2019 Medicare Shared Savings Program final rule, published by CMS.

HFMA January 3, 2019

Judge Rejects 2018 Cut to Medicare 340B Payments

Jan. 2—A federal judge recently ruled against a year-old 30 percent cut to Medicare payments for 340B drugs. But the ruling’s implementation—including the effect on 2019 payment—remains to be decided.

Rich Daly January 3, 2019

Price Transparency: The View from Washington

HFMA President and CEO Joe Fifer discusses implications of a new federal report that addresses price transparency.

Joseph J. Fifer, FHFMA, CPA December 26, 2018

Medicare’s Move Toward Site-Neutral Payment

A payment change in the OPPS final rule that aims to align payments made for services delivered in off-campus hospital outpatient departments with those made for services delivered in physician offices has raised considerable controversy.

Gail R Wilensky, PhD December 26, 2018

Creating PSAs That Promote a Meaningful Hospital-Physician Bond

Professional services agreements between hospitals and physicians should be structured to create integrated, binding relationships that support value-based strategies and creation of a high-performing provider networks.

John Fink December 26, 2018

Aligning Value-Based Contracts for Better Performance

A roundtable of senior financial leaders that offers strategies for evaluating, operationalizing, and aligning value-based contracts and care delivery work streams.

HFMA December 21, 2018

ACO Overhaul Issued Amid Looming Regulations

Dec. 21—An overhaul of Medicare’s accountable care organization (ACO) program, issued today, is among several far-reaching federal regulations that hospital leaders and advocates have been anxiously awaiting, all of which could be released within the next week. 

Rich Daly December 20, 2018

CY 2019 MPFS Final Rule Executive Summary Presentation

This presentation briefly summarizes the CY 2019 updates to payments and other programs contained in the MPFS final rule, published by CMS.

HFMA December 20, 2018

Hospitals Issue Warnings on ACA Repeal Ruling

Dec. 17—Hospital advocates raised a range of concerns about the expected impacts of striking down the Affordable Care Act (ACA) after a federal judge’s recent decision that the law was invalid.

Rich Daly December 18, 2018

Dec. 17-21: Report Highlights Savings of Existing Medicare ACOs

Dec. 13—As the Trump administration considers a controversial overhaul of Medicare’s accountable care organization (ACO) program, a new report says the existing model has provided much more savings than previously found.

Rich Daly December 14, 2018
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