Merit-Based Incentive Payment System (MIPS): Clinical Practice Improvement Activities (CPIA) Performance Category Overview
Summary of the Clinical Practice Improvement Activities (CPIA) Performance Category of the Merit-Based Incentive Payment System (MIPS).
Key Financial and Operational Impacts from the Proposed 2017 Physician Fee Schedule (PFS) Rule
This summary provides key financial and operational impacts from the proposed 2017 physician fee schedule (PFS) rule.
CY17 Medicare Hospital Outpatient Prospective Payment System Proposed Rule Summary
This document provides a detailed summary of the Medicare Hospital OPPS and ambulatory surgical center (ASC) payment systems proposed rule for Calendar Year 2017 (CY17).
Executive Summary: CMS 2017 OPPS Proposed Rule
A brief summary of the Key financial and operational impacts from the 2017 hospital outpatient prospective payment system (OPPS) proposed rule.
MACRA Timeline: MIPS and Advanced APM Reporting Requirements for Payment Year 2019
A timeline for MIPS and Advanced APM reporting requirements for payment year 2019 under MACRA.
Winning Direct Contracts with Employers
Pacific Business Group on Health, a leader in direct contracting, uses an extensive evaluation process to choose the provider organizations for its Employers Centers of Excellence Network.
Hospitals with PBGH Joint Replacement Contracts
Pacific Business Group on Health (PBGH), a membership organization that includes many of America’s largest healthcare purchasers, has developed direct contracts for joint replacements, spine procedures, and bariatric surgery with hospitals across the country.
Forum Webinar: Bundled Payment Models: CJR and More
During this May 17, 2016, webinar, a hospital leader and a bundled payment expert shared their perspectives about the challenges of implementing bundled payment programs, specifically related to orthopedic episodes and physician engagement.
Medicare Program: Medicare Clinical Diagnostic Laboratory Tests (CDLTs) Payment System Final Rule Summary
On June 17, 2016, CMS placed on public display a final rule, implementing revisions to the payment methodology for clinical diagnostic laboratory tests (CDLTs) paid under the Clinical Laboratory Fee Schedule (CLFS). The implementation date for the rule is January 1, 2018.
HFMA Comments on CMS’s MACRA Proposed Rule (CMS 5517-P)
HFMA submitted a comment letter to CMS on the MACRA Proposed Rule published in the May 9, 2016, Federal Register.