Payment Reimbursement and Managed Care

Is Focus of Value Based Care Moving From Hospitals to Physicians

Recent changes to bundled payment models are the among the developments that suggest the Trump administration may be seeking to shift the focus of value-based care from hospitals to physicians.

Rich Daly September 20, 2017

New IBD Care Models Reduce ED Inpatient Use

Leading gastroenterologists are adapting the patient-centered medical home model to treat patients with inflammatory bowel disease.

Lola Butcher September 20, 2017

HFMA Comments on the CY18 OPPS/ASC Proposed Rule

HFMA submitted comments to CMS on the CY 2018 OPPS/ASC proposed rule.

HFMA September 13, 2017

Coming of Age: The Future of Bundled Payments

Jean Drouin describes recent and coming changes around bundled payment models. 

Jean Drouin September 11, 2017

HFMA Comments on CY18 Physician Fee Schedule Proposed Rule

HFMA commented on CMS’s CY 2018  Physician Fee Schedule proposed rule.

HFMA September 7, 2017

The Collateral Impacts of MIPS

Tom S. Lee describes the long-term effects a MIPS score can have on providers.

Tom S. Lee September 7, 2017

Optimizing Total Joint Performance in an Era of Uncertainty

Advisory Board’s Sean Angert discusses ways healthcare organizations can improve performance in bundled payment programs.

Sean Angert September 5, 2017

MIPS: Getting Ready for a New Paradigm in Pay for Performance

Organizations that have not yet considered their strategy for participation in the Merit-based Incentive Payment System (MIPS) must begin to plan now, or risk financial penalties. 

Jennifer Swindle September 5, 2017

Time for Hospitals to Pursue a ‘Nip and Tuck’ Chargemaster Pricing Strategy?

Hospitals should balance their concern about achieving the margins they require to accomplish their missions with the need to maintain defensible pricing in an environment of increasing healthcare price transparency.

Jeff Helton,  PHD, FHFMA, CMA, CFE September 5, 2017

Three Strikes Against the Idea that Coverage Reduces ED Use

Ken Perez describes three case studies showing that expanded coverage increases emergency department use.

Ken Perez August 31, 2017
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