Payment Reimbursement and Managed Care

Executive Summary: CMS 2017 IPPS Proposed Rule

This document provides an overview of the key financial and operating impacts of the FY17 IPPS proposed rule.

HFMA May 5, 2016

Summary of CMS’s Comprehensive Primary Care Plus (CPC+) Model

This document summarizes important details of CMS's Comprehensive Primary Care Plus (CPC+) model.

HFMA April 29, 2016

How Minnesota Safety Net Providers Found Success in a Medicaid Alternative Payment Model

A combination of preparation; using data to stratify patients by risk category; and integrating primary care, behavioral health, and social services is helping Minnesota safety net providers succeed in a Medicaid accountable care initiative.

Andis Robeznieks April 7, 2016

Ask the Expert: Payers Linking Cancellations of Separate Contracts

How can providers respond when payers threaten to terminate a Medicare Advantage contract if the provider terminates their separate commercial contract?

HFMA April 7, 2016

HFMA Comments on CMS’s Proposed Changes to the Medicare Shared Savings Program

HFMA submitted a comment letter to CMS on the proposed changes to the Medicare Shared Savings Program (MSSP) benchmarking and trending methodologies published in the February 3, 2016, Federal Register.

HFMA March 30, 2016

Medicare Overpayments Final Rule Fact Sheet

This fact sheet summarizes the final rule published by CMS requiring providers and suppliers receiving funds under the Medicare program to report and return overpayments. 

HFMA March 22, 2016

Medicare Program; Part B Drug Payment Model Summary of Proposed Rule

This document summarizes the important details of CMS's proposal to test a new payment model called the Part B Drug Payment Model.

HFMA March 22, 2016

Medicare Shared Savings Program Proposed Benchmarking Rule Summary

This document highlights the important changes that would be made to the benchmarking rebasing methodology used in the Medicare Shared Savings Program (MSSP), among other changes.

HFMA March 4, 2016

CY16 Medicare Physician Fee Schedule Final Rule Fact Sheet

CMS has released a final rule with comment period that will revise payment polices under the Medicare Physician Fee Schedule for CY16.

HFMA February 23, 2016

Finding Success in the Physician Feedback Program/Value-Based Modifier

By taking certain steps, physician practices can make the most of CMS’s quality outcome feedback and payment program.

Andis Robeznieks February 11, 2016
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