Payment Reimbursement and Managed Care

MACRA Implementation Resource

This tool provides organizations with helpful tips to assist them in their MACRA implementation efforts.

HFMA October 4, 2016

HFMA Comments on CMS’s CY17 Medicare Hospital Outpatient PPS Proposed Rule

HFMA submitted a comment letter to CMS on the CY17 Hospital Outpatient PPS proposed rule, published in the July 14, 2016, Federal Register.

HFMA September 8, 2016

HFMA Comments on CMS’s CY17 Medicare Physician Fee Schedule Proposed Rule

HFMA submitted comments to Centers for Medicare and Medicaid Services (CMS) on a proposed rule relating to the Medicare physician fee schedule (PFS) for CY17 and other revisions to Medicare Part B policies published in the July 15, 2016, Federal Register.

HFMA September 7, 2016

CMS FY17 IPPS Final Rule Summary

This document provides a detailed summary of the FY17 IPPS final rule, published by CMS in the August 22, 2016, Federal Register.

HFMA August 29, 2016

Executive Summary: CMS 2017 IPPS Final Rule

This document briefly summarizes the key financial and operational impacts of CMS's FY17 IPPS final rule.

HFMA August 25, 2016

HFMA Advancing Care Coordination Through Episode Payment Models (EPMs) Proposed Rule Summary

CMS proposes to make modifications to the CJR model, create three EPMs for care of AMI, CABG, and SHFFT, and create the CR Model using its authority under section 1115A. The proposed Cardiac Rehabilitation (CR) Incentive Program is also briefly described in the rule.

HFMA August 19, 2016

Executive Summary – Episodic Payment Model for Cardiac and Hip Fractures Proposed Rule

This brief summary features the top 10 issues providers need to understand from the Episodic Payment Model (EPM) for Cardiac and Surgical Hip Femur Fracture Treatment Proposed Rule.

HFMA August 16, 2016

Partnering With Healthcare Purchasers

Mount Sinai Health System partnered with a trade union to develop a bundled-payment program designed to improve patient outcomes and reduce the purchaser’s costs.

Lola Butcher August 10, 2016

Ask the Experts: Bundled Payment Contracts

What are some changes in the way payment and reimbursement professionals should view health plan contracts when moving to bundled payments?

HFMA August 10, 2016

CY17 Medicare Physician Fee Schedule Proposed Rule Summary

This document summarizes the payment policies included in the CY17 Medicare Physician Fee Schedule proposed rule.

HFMA August 5, 2016
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