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.
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.
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.
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.
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.
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.
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.
7 Considerations in the Financial Modeling of Value-Based Payment Arrangements
In preparing for the impact of changing to value-based payment, hospitals must be able to predict the gain or loss from related incentives, penalties, volume changes, and other factors. Seven considerations provide a guide to successfully managing the shift.
Getting Proactive About Bundles
Building on lessons learned from early bundle experiences, a midwestern health system is proactively designing its own bundles as it works with insurers and the state to craft bundles that better represent clinical and operational realities.
A Blueprint for Building a ‘Risk Ready’ Healthcare Organization
The cornerstone capabilities healthcare providers require for success under risk contracts are contract modeling and negotiation, care management and coordination, analytics and technology, and relationships and alignment.