Payment Reimbursement and Managed Care

340B Suit Rejected—for Now

Jan. 2—Medicare payment cuts to hospitals in the 340B program went into effect Jan. 1 after a federal judge deemed too premature a last-minute request to block the new policy.

Rich Daly January 3, 2018

hfm Magazine: January 2018

hfm Magazine: January 2018

HFMA January 2, 2018

Forum Networking Webinar: Managing Third-Party Liability Claims: A Boston Medical Center Case Study

A Boston Medical Center patient financial services director shares strategies for managing third-party liability claims.

HFMA December 28, 2017

Preparing for MACRA Year 2: What Providers Need to Know

Sonya Bess outlines the changes coming to the MACRA Quality Payment Program in 2018. 

Sonya Bess December 20, 2017

The Changing Health Policy Debate and the Unyielding Imperative of Value-Based Care

Republican efforts to repeal and replace the Affordable Care Act have been temporarily put on hold while the party focuses on tax reform.

Ken Perez December 20, 2017

Analyzing the Frequency of Changes Among Worksheets in Medicare’s HCRIS

A study ranked worksheets providers use in filing Medicare cost reports by the frequency with which they needed to be updated, highlighting some areas requiring special attention from individuals charged with completing the cost reports.

HFMA December 20, 2017

The Year Ahead: What 2017 ACA Changes Could Mean for 2018 and 2019

Healthcare providers can expect an impact in 2018 from changes made by the Trump administration in 2017 that could lead to a decline in the number of Americans with health insurance and an increase in health plans with fewer benefits.

Lia Winfield, PhD December 20, 2017

Emerging Value-Based Payment Trends Transforming Health Care in 2018

Hospitals and health systems plan a range of care delivery innovations in 2018 to help them reach more of the quality improvement goals of various payment models.

Rich Daly December 20, 2017

CMMI’s “New Direction” Points to the Future of Bundled Payments

Dave Terry outlines the future of the Center for Medicare & Medicaid Innovation.

Dave Terry December 12, 2017

CMS Quality Payment Program CY18 Final Rule Summary

This document summarizes the CY18 Quality Payment Program (QPP) final rule.

HFMA December 6, 2017
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