How CMS Leveled the Playing Field for Hospital Readmission Penalties
A new rule finalized by CMS acknowledges that charging hospitals with higher percentages of dual eligibles the same readmission penalties as hospitals with fewer of these patients. The proposed penalty adjustment will reflect the challenges facing each hospital's populations.
Hospice Programs Save Costs, Reduce Readmissions
Applying hospice home based skills to hospital care and strategic planning may reduce patient stays.“There are many lessons hospitals can learn from hospice providers,” says John Mastrojohn III, executive vice president and COO of the National Hospice and Palliative Care
Evidence-based Guidelines Can Lead ACOs Toward MACRA Success
Joe Guerriero describes opportunities for ACOs enrolled in Medicare programs.
Executive Summary: CMS 2018 IPPS Final Rule
HFMA summarizes the Centers for Medicare & Medicaid Services' 2018 Inpatient Prospective Payment System Final Rule.
Catching Up on Your MIPS Strategy
A MIPS implementation plan involves creating a team, choosing metrics and a reporting mechanism, and looking at the new Medicare Part B payment model as part of your broader payer strategy.
Catching Up on Your MIPS Strategy
A MIPS implementation plan involves creating a team, choosing metrics and a reporting mechanism, and looking at the new Medicare Part B payment model as part of your broader payer strategy.
Proposed 2018 OPPS/ASC Rule Summary
This document provides a detailed summary of the CY 2018 OPPS/ASC proposed rule, published by CMS.
Payment for Behavioral Health Care Is in Catch-Up Mode Under Value-Based Care
Don McDaniel makes a case for an integrated payment model for behavioral and medical services.
The Abuse and Misuse of Observation Services
Lack of limitations on observation status has led to confusion and increased expense among patients.
PAMA’s Impact on Laboratory Margins
Lâle White describes changes to come in 2018 as a result of CMS’s new clinical laboratory fee schedule.