Payment Reimbursement and Managed Care

Global Hospital Budgets Don’t Cut Utilization: Study

Jan. 26—A potential national model for moving hospitals to global budgets was unable to reduce patient utilization during its first two years, according to recent research.

Rich Daly January 29, 2018

Medicaid Expansion Enrollees Increase Healthcare Costs

Jan. 25—Healthcare costs have continued to increase among those who enrolled in Medicaid under the healthcare reform eligibility expansion, according to a new analysis.

Rich Daly January 26, 2018

Newer Health Plan Products Align With Value-Based Care

With the clout to steer the healthcare industry away from a volume-based approach, health plans are implementing innovative payment models.

Elizabeth Barker January 25, 2018

CHIP Deal Lifts Pressure on Hospital Margins

Jan. 24—Children’s hospitals got a big financial boost from the recent deal to fund the Children’s Health Insurance Program (CHIP) for six years as part of a short-term funding bill.

Rich Daly January 25, 2018

Hospital Spending Growth Slows in 2017

Jan. 22—Hospital spending grew less than half as fast in 2017 as it did the year before, according to a recent economic trends analysis.

Rich Daly January 24, 2018

Strategies to Measure Performance and Enhance Quality Under MIPS

Access to flexible, robust tracking tools that produce a range of actionable data are proving crucial for physicians participating in the primary track of MACRA.

Elizabeth Barker January 23, 2018

2018 CMS Plans: New Models, Cuts to Measures, and Simplification of CoPs

Jan. 18—Hospitals will see some of their leading regulatory concerns addressed in 2018 by the Centers for Medicare & Medicaid Services (CMS), according to the agency’s leader.

Rich Daly January 19, 2018

Policy Changes Needed to Sustain CAHs: Report

Jan. 17—New policies and legislation are needed to financially bolster critical access hospitals (CAHs), even as some such organizations may need to be downsized, according to a bipartisan report.

Rich Daly January 18, 2018

Executive Summary: CMMI Bundled Payment for Care Improvement Advanced Model – Request for Applications Released

This document provides a brief summary of the Center for Medicare and Medicaid Innovation's (CMMI's) request for applications for the Bundled Payment for Care Improvement Advanced payment model.

HFMA January 17, 2018

Video: Tips for Secure Medical Record Transmission to Payers

Common mistakes are not using security options to send records and not tracking what data or claims are sent. 

HFMA January 17, 2018
googletag.cmd.push( function () { googletag.display( 'hfma-gpt-leaderboard' ); } );