Payment Reimbursement and Managed Care

Forum Networking Webinar: Developing Rational Health Service Prices – Key Takeaways

During this Forum-exclusive networking webinar, attendees participated in an interactive discussion about approaches for setting hospital prices, as well as ways to reduce patient charges. 

HFMA September 28, 2018

Forum Networking Webinar: Developing Rational Health Service Prices

During this Forum-exclusive networking webinar, attendees participated in an interactive discussion about approaches for setting hospital prices, as well as ways to reduce patient charges. 

HFMA September 28, 2018

CY2019 Medicare Physician Fee Schedule Proposed Rule

This document summarizes updates contained in the CY2019 Medicare Physician Fee Schedule proposed rule, published by CMS.

HFMA September 28, 2018

Sept 30-Oct. 5: ACA Premiums to Decline for First Time

Sept. 27—Final premium rates for the Affordable Care Act (ACA) marketplaces are expected to keep rolling in next week, even as the Trump administration is anticipating a historic first.

Rich Daly September 28, 2018

Rural Hospitals Push Congress to Address Key Financial Issue

Sept. 26—Amid rising concern in Congress over rural hospital failures, some stakeholders are renewing their push for a long-sought Medicare payment change that was described during a recent hearing as “one of the single most important” financial fixes for those organizations.

Rich Daly September 27, 2018

Bundled Episode “No-Go” Zone

Providers that are considering participating in bundled payment arrangements should first perform a preliminary review of factors that can have a bearing on their readiness for such arrangements.

Deirdre M. Baggot September 27, 2018

The Trump Administration’s Proposed Reorganization of the Federal Government: Implications for Health Care

President Trump is proposing significant reforms to government structure that may improve administrative efficiency but may at the same time gut what is left of the nation’s safety net.

Ken Perez September 26, 2018

Target Setting: A Case Example with Risk Adjustment

By considering risk as they set financial targets for physician groups under value-based payment contracts, provider organizations can more accurately assess the likelihood that physician groups might have favorable performance under the contracts.

HFMA September 26, 2018

The ongoing pursuit of better payment models

HFMA will be your source for all things related to payment trends, as it may be one of the hottest topics in our industry. 

Kevin Brennan, FHFMA, CPA September 26, 2018

Lessons Learned from New York State’s Transition to Value

New York is a leader among U.S. states in promoting the healthcare industry’s transition to value-based payment, and healthcare providers nationwide can benefit from understanding the details of the state’s approach. 

Michael Keyes, MBA September 26, 2018
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