Payment Reimbursement and Managed Care

HFMA Summary: MSSP Revised Benchmark Rebasing Methodology Final Rule

The Centers for Medicare and Medicaid Services (CMS) published a final rule that would make important changes to the benchmarking rebasing methodology used in the Medicare Shared Savings Program (MSSP), among other changes.

HFMA June 21, 2016

Executive Summary – Final MSSP Benchmarking Rule

This document summarizes the Centers for Medicare & Medicaid Services's (CMS's) long awaited rule finalizing changes to the Medicare Shared Savings Program (MSSP) benchmark rebasing methodology, published in the June 10, 2016, Federal Register.

HFMA June 17, 2016

HFMA Comments on CMS’s FY17 IPPS Proposed Rule (CMS 1665-P)

HFMA submitted a comment letter to CMS on the FY17 Medicare Program Proposed Rule published in the April 27, 2016, Federal Register.

HFMA June 16, 2016

Executive Summary: CMS MACRA Proposed Rule

Important details of the May 9, 2016, Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) proposed rule are highlighted in this summary.

HFMA May 16, 2016

Merit-Based Incentive Payment System (MIPS) and Alternative Payment Model (APM) Incentive Proposed Rule Summary

This document provides a summary of the proposed rule establishing the Merit-based Incentive Payment System (MIPS) for MIPS eligible clinicians or groups under the Physician Fee Schedule (PFS) and incentives for participation in certain alternative payment models (APMs).

HFMA May 13, 2016

Requests for Health Information on the Rise

Healthcare reform, value-based payment, and increasing audit scrutiny make it increasingly important that hospitals improve their data sharing capabilities.

HFMA May 12, 2016

Using Audits to Improve Compliance, Cut Future Audit Risk

Several steps can help hospitals and health systems leverage audits and their results to increase compliance and reduce financial risks from future audits.

Dawn Crump May 12, 2016

Making ACO Participation Pay Off

Delaware Valley ACO’s emphasis on improving care while lowering costs has proven effective, demonstrated by an increase in members from 5,000 to 200,000 in three years.

Chris Anderson May 10, 2016

HFMA Comments on CMS’s Part B Drug Payment Model Proposed Rule

This document contains HFMA's comments to CMS on the proposed changes to Medicare’s reimbursement methodology for separately payable Part B drugs.

HFMA May 9, 2016

Proposed Rule: Medicare Inpatient Hospital Operating and Capital Payment for Fiscal Year 2017

This document summarizes proposed payment rate updates to hospitals under the inpatient prospective payment system for fiscal year 2017.

HFMA May 5, 2016
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