Preparing for BPCI-A: Avoiding the Common Mistakes Providers Make when Implementing New Payment Models
The primary goal for healthcare providers participating in Bundled Payments for Care Improvement Advanced (BPCI-A) should be to master the competencies associated with becoming a high-value provider.
Beyond the Rhetoric: Implications and Unintended Consequences of Tax Reform and Medicare Policy
Tax reform and changes in federal healthcare policy could have the unintended effect of exacerbating the challenges U.S. hospital face in contending with uncompensated care.
At the Tipping Point for Assuming More Risk
An in-depth look at how organizations can build capabilities to implement effective value-based payment contracts and care delivery models.
Site-Neutral Payment Reduction Leads Hospital OPPS Concerns
Sept. 25—Among reactions to a range of thorny policy proposals, hospital advocates are urging Medicare to withdraw a $760 million payment cut for outpatient services.
Reducing Cancer Costs: Lessons from Leading Oncology Practices
Sita Kapoor highlights seven lessons learned from early participants in the CMS Oncology Care Model about reducing cancer care costs.
Value-Based Payment for Physicians Stays Flat: Survey
Sept. 21—The share of physician compensation tied to value-based payment metrics has remained stuck below 15 percent, according to a recent national physician survey.
Where Providers Are Finding Value-Based Profit
Healthcare provider organizations that are seeking ways to successfully accomplish the shift from fee-for-service to value-based payment can gain insight from the experiences of provider organizations that are industry leaders in this transition.
Legislation on Surprise Billing Targets Insurers
Sept. 18—Following a recent survey that found the general public blames insurers for unexpected healthcare bills, high-profile draft legislation that would primarily target payers was offered this week.
Don’t Steer Away from Auto Accident Revenue Cycle Challenges
Brad Williams describes helpful strategies for recovering payments due based on patient involvement in auto accidents, which can be difficult to navigate but well worth pursuing.
CY 2019 OPPS/ASC Proposed Rule: HFMA Executive Summary|HFMA
CMS published a proposed rule updating OPPS/ASC payments for CY 2019, in the July 31, 2018, Federal Register.