Executive Summary: CMS 2017 OPPS Final Rule
This document summarizes key financial and operational impacts from the FY17 OPPS final rule.
Merit-Based Incentive Payment System (MIPS)
This document summarizes the details of the MIPS final rule.
Hospitals Lag in Value-Based Payment but Plan for the Future
Although only one quarter of hospitals will meet CMS’s 2018 goal for value-based care, the majority are on track to increase value-based models within the next three years.
New Accountable Care Collaborative Shares Provider Stories
The Accountable Care Learning Collaborative is collecting case studies that illustrate how organizations are adopting accountable care. For example, one case study shares how the University of Texas Southwestern Medical Center tackled governance and physician engagement.
Price Transparency: Where Does the Hospital Industry Stand Today?
Two surveys reveal how hospital pricing transparency policies and trends have changed over a two-year period.
MACRA Overview
This presentation provides an overview of the Medicare Access and CHIP Reauthorization Act (MACRA).
Executive Summary: CMS MACRA Final Rule
This document highlights important details of the final rule implementing the Medicare Access and CHIP Reauthorization Act (MACRA) made available on October 14, 2016.
Contracting for Chronic Disease Management
Illinois Gastroenterology Group negotiated a specialty intensive medical home contract with the state’s largest private payer.
Ask the Experts: Out-of-Network Payments
What are some successful strategies for increasing the amount of charges paid by out-of-network insurance carriers?
HFMA Comments on CMS’s Advancing Care Coordination Through EPMs Proposed Rule
HFMA submitted comments to CMS on the Advancing Care Coordination Through Episode Payment Models proposed rule, published in the August 2, 2016, Federal Register.