HFMA Comments on Hospital Improvements for Payment Act of 2014 Discussion Draft
HFMA comments to the U.S. House Committee on Ways and Means on the challenges of the Medicare Recovery Audit Contractor program and other policies that have had negative unintended consequences.
Improving Price Transparency
Access HFMA resources for improving price transparency.
CY15 Medicare Physician Fee Schedule Final Rule Fact Sheet
This document highlights important payment updates to physicians under the CY15 Medicare Physician Fee Schedule (PFS) final rule.
NY Rural Providers Turn Medical Homes into an ACO
What makes this medical home project different from many others around the country is that it is an all-payer pilot. After lengthy negotiations between providers and payers, the health plans agreed to pay the medical homes $7 per member per month to care for some 100,000 patients during the first year.
HFMA Comments on the Proposed Rule on the Medicare Shared Savings Program
HFMA commended CMS for its efforts to modify the Medicare Shared Savings Program (MSSP) to ensure its sustainability. However, HFMA had specific recommendations for improvement.
Determining Your Options: Educating Your Board
It is essential to keep your organization's board of directors up to date on your organization's current situation, capabilities and needs, and potential options for acquisition or affiliation. As you narrow in on the most viable options and partners for your organization, the PowerPoint template tools below outline key elements of your proposed course of action that should be shared with the board. Options are provided for proposals involving both less than fully integrated and fully integrated acquisition and affiliation models. Tool: Educating Your Board: Less than Fully Integrated Models Tool: Educating Your Board: Fully Integrated Models Go to Next Page Home
Medicare Shared Savings Program Proposed Rule Fact Sheet
This fact sheet summarizes proposed changes by CMS that would update policies governing the Medicare Shared Savings Program.
Price Transparency for Health Plans
Because health plans will in most instances have the most accurate data on prices for their members, HFMA’s Price Transparency Task Force recommends that health plans serve as the principal source of price information for their members. Many health plans have already developed or are in the process of developing web-based or telephonic transparency tools for their members. There are also a growing number of independent vendors that use data from health plans and/or employers in web-based tools and telephonic products to inform employees about price.
Accounting for Non-Performance-Related Variation in Shared Savings Contracts
Variation between targeted and actual PMPM costs can be due to numerous factors, including many that have nothing to do with the quality or cost of care provided to ACO members.
Six Ways to Address Non-Performance-Related Variation in ACO Contracts
While not yet a perfect science, payers and providers can begin to address non-performance-related variation in a number of ways.