FY18 IPPS Final Rule Summary
This document summarizes the FY18 IPPS final rule, published by CMS.
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.
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.
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.
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.
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 Submits Recommendations to Medicare Red Tape Relief Project
HFMA submitted recommendations to the Committee on Ways and Means, Subcommittee on Health.
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.
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?
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.