Payment Reimbursement and Managed Care

Improve Compliance and Revenue by Understanding the Two-Midnight Rule

Edward Hu, MD, president of the American College of Physician Colleges, offers guidance for physicians seeking to better understand the two-midnight rule.

Edward Hu August 29, 2017

FY18 IPPS Final Rule Summary

This document summarizes the FY18 IPPS final rule, published by CMS.

HFMA August 25, 2017

HFMA Comments on the CY18 Updates to the Quality Payment Program Proposed Rule

HFMA submitted comments to CMS on the CY 2018 Quality Payment Program proposed rule.

HFMA August 24, 2017

The Challenges of “Repeal and Replace”

Despite the success of the “repeal and replace” platform during election season, politics and numbers are getting in the way of Republican efforts to get rid of the Affordable Care Act.

Gail R Wilensky, PhD August 23, 2017

The Opioid Funding Controversy: A Portent of the Upcoming Bipartisan Healthcare Reform Debate

The continuing efforts to repeal and replace the Affordable Care Act could open doors for advocacy groups to revisit aspects of the legislation they want to change.

Ken Perez August 23, 2017

10 States Far Exceed National Average for Average Charge per Medicare Admission

In U.S. 10 states, the average charge per admission far exceeds the same measure for any of the remaining states, significantly surpassing the national average for the measure.

HFMA August 23, 2017

Executive Summary: Episodic Payment Model (EPM) Cancellation Proposed Rule

This document provides a brief summary of the Episodic Payment Model (EPM) cancellation proposed rule, published by CMS.

HFMA August 22, 2017

HFMA Submits Recommendations to Medicare Red Tape Relief Project

HFMA submitted recommendations to the Committee on Ways and Means, Subcommittee on Health.

HFMA August 18, 2017

Contracting With Physicians to Tackle Pervasive Challenges

Hospital efficiency improvement programs allow organizations to address quality and efficiency goals across service lines by providing all inpatient-focused specialties with financial rewards if they achieve specific outcomes.

Jim Daniel August 15, 2017

Ask the Experts: Managed Care Contracting Benchmarks

Do you know of other avenues besides our state Department of Insurance that we can pursue to resolve health plan payment issues?

HFMA August 14, 2017
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