MACRA’s Quality Payment Program in 2018: What Hospitals Need to Know
Hospitals are not exempt from the impacts of the Medicare Access and Chip Reauthorization Act (MACRA), and they therefore should understand the provisions of the recently issued final rule on MACRA’s Quality Payment Program.
Pharmacy Costs: Are You Paying for Value Yet?
Insurers are setting precedents for value-based payment for medications.
CMS 2018 PFS Final Rule Summary
This document provides a detailed summary of the CY18 Physician Fee Schedule (PFS) final rule, published by CMS.
Focus on Eliminating Avoidable Readmissions Historical Perspective
A collaboration between a hospital and a skilled nursing facility (SNF) aimed at improving care of the SNF’s residents and preventing avoidable readmissions from the SNF to the hospital offers an important lesson for other such providers.
Two Sides to the APM Coin: Why APMs Work for Some and Not For Others
Integrated delivery systems are at a disadvantage under alternative payment models (APMs), which has hindered the success of these models; redesigning how shared savings are distributed to address this disadvantage may help promote the success of APMs.
More Than a ZIP Code: Socioeconomic Data for Improving Patient Outcomes
The shift to value is encouraging healthcare providers to tap into previously underutilized resources to gather useful patient data.
Why Hospitals Should Partner With Home Health Agencies
By bringing post-acute care into patient homes, home health services are reducing readmissions by 31 percent and overall healthcare costs by 24 percent.
Ask the Experts: Cost Report for Cardiac Rehab Services
I am looking for assistance with the cost report treatment for our new intensive cardiac rehabilitation service. In most respects, this service operates like a department of the hospital.
CY18 OPPS and ASC Final Rule Summary
This document provides a comprehensive summary of the CY18 OPPS and ASC final rule, published by CMS.
Key Actions to Prepare for the 2018 Medicare Final OPPS Changes
With little time until the OPPS final rule goes into effect, finance leaders should take action now to address the key issues that may impact their organizations both financially and operationally.