Payment Reimbursement and Managed Care

Medicare’s Quality Initiatives Present New Management Challenges

Value-based purchasing and reduction of readmissions and hospital-acquired conditions are coming into focus for hospitals thanks to Medicare initiatives.

Paul Shoemaker December 19, 2016

Outlook for Healthcare Policy: Uncertain

Previous Republican initiatives to replace the ACA are being used to guide expectations about what a replacement measure would entail. 

Rich Daly December 19, 2016

The ACA—and Other Healthcare Issues Confronting a New Congress

Republicans have promised to repeal the Affordable Care Act when Congress convenes in 2017, but they have other healthcare considerations to address, as well. 

Gail R Wilensky, PhD December 19, 2016

A Framework for Predicting the Trump Administration’s Health Policy Moves

Considered unpredictable by many, the policies of President-elect Donald Trump’s administration are beginning to take shape in health care.

Ken Perez December 19, 2016

MIPS Implementation: What Healthcare Stakeholders Need to Know

Healthcare policy expert Billy Wynne analyzes what providers need to know heading into implementation of the Merit-based Incentive Payment System (MIPS) component of MACRA.

Lisa Zamosky December 19, 2016

CY17 OPPS Final Rule Summary

This document summarizes the financial and operational impacts of CMS's CY17 OPPS final rule.

HFMA December 15, 2016

CY17 Medicare Physician Fee Schedule Final Rule Summary

This document provides a summary of important CY17 Medicare Physician Fee Schedule updates.

HFMA November 29, 2016

Negotiating a Joint-Venture Health Plan

Aspirus is one of many health systems that partner with insurance companies to form joint-venture health plans that bring healthcare financing and delivery closer together.

Lola Butcher November 28, 2016

Ask the Experts: Payment Adjustments and Meaningful Use

Our organization has not made any effort to attest to meaningful use, and we have received a notice from CMS with attestation deadline dates in February 2017. Will we experience payment adjustments in the upcoming fiscal year? How can I confirm our status?

HFMA November 28, 2016

Executive Summary: CMS 2017 PFS Final Rule

This document provides the key financial and operational impacts from the 2017 PFS final rule, published in the November 15, 2016, Federal Register.

HFMA November 18, 2016
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