Healthcare Reimbursement News

Optimizing Financial Performance Under Value-Based Care

As they seek to adapt their organizations to the demands of value-based care, physician leaders can follow the example of participants in the Oncology Care Model.

By Charles Saunders, MD October 2, 2017

Setting Competitive Prices with the Consumer in Mind

Finance leaders face a difficult balancing act when setting prices, particularly for new services.

By Laura Ramos Hegwer September 28, 2017

Highmark Sees the ‘Value’ in VBID for MA Plans

Ellen Galardy of Highmark, Inc. describes the health plan's participation in a value-based insurance design pilot that seeks to improve the care of chronic conditions.

By Ellen Galardy September 25, 2017

Is Focus of Value Based Care Moving From Hospitals to Physicians

Recent changes to bundled payment models are the among the developments that suggest the Trump administration may be seeking to shift the focus of value-based care from hospitals to physicians.

By Rich Daly September 20, 2017

New IBD Care Models Reduce ED Inpatient Use

Leading gastroenterologists are adapting the patient-centered medical home model to treat patients with inflammatory bowel disease.

By Lola Butcher September 20, 2017

HFMA Comments on the CY18 OPPS/ASC Proposed Rule

HFMA submitted comments to CMS on the CY 2018 OPPS/ASC proposed rule.

By HFMA September 13, 2017

Coming of Age: The Future of Bundled Payments

Jean Drouin describes recent and coming changes around bundled payment models. 

By Jean Drouin September 11, 2017

HFMA Comments on CY18 Physician Fee Schedule Proposed Rule

HFMA commented on CMS’s CY 2018  Physician Fee Schedule proposed rule.

By HFMA September 7, 2017

The Collateral Impacts of MIPS

Tom S. Lee describes the long-term effects a MIPS score can have on providers.

By Tom S. Lee September 7, 2017

Optimizing Total Joint Performance in an Era of Uncertainty

Advisory Board’s Sean Angert discusses ways healthcare organizations can improve performance in bundled payment programs.

By Sean Angert September 5, 2017
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