Healthcare Reimbursement News

HFMA Final Rule Summary: Advancing Care Coordination Through Episodic Payment Models

This document consists of three separate summaries of CMS's final rule implementing three new Medicare Parts A and B episode payment models, a Cardiac Rehabilitation (CR) Incentive Payment Model and modifications to the existing Comprehensive Care for Joint (CJR) Replacement Model.

By HFMA February 1, 2017

Bundled Payments: Value-Based Guidance

The authors share insights about bundled payment programs in an ever-changing healthcare environment.

By Amol Navathe February 1, 2017

Value Based Payment Coalition Letter

HFMA and other healthcare stakeholders, sent a letter to the White House and Congressional leaders in support of the continued movement toward value-based payment.

By HFMA February 1, 2017

Alternative Payment Model Initiatives at Banner Health

Banner Health participates in a variety of alternative payment models, including the Comprehensive Primary Care initiative, Oncology Care Model, bundled payments, and more.

By Elizabeth Barker January 26, 2017

Demand Fuels Expansion of Tiered-Benefit Insurance Products

Stephen T. Swift of BlueCross BlueShield of Western New York writes that collaboration with local healthcare providers spawned a popular tiered-benefit insurance product.

By Stephen T. Swift January 26, 2017

Bundled Payments for Self Pay Patients

Consumers are gaining access to a true healthcare marketplace as hospitals and physician groups offer discounted bundled-payment services for patients with no insurance or high deductibles.

By Lola Butcher January 24, 2017

Navigating Uncertainty IN HEALTH CARE IN 2017

Industry experts describe what may be in store during an eventful year, and how leaders should be approaching the potential turmoil.As 2017 ushers in a drastically different political environment, it also brings uncertainty on a variety of issues. Not least

By Laura Ramos Hegwer January 24, 2017

Working Together to Make Alternative Payment Models Succeed

A healthcare finance leader, clinical leader, and health plan executive discuss how to optimize the implementation of alternative payment models and ensure those programs have their intended effect.

By Kathleen Vega January 24, 2017

Lessons from a Leading ACO Performer

Strategies ranging from aligned partnerships to investments in technology to provider and patient education have helped Banner Health Network thrive in the Pioneer Accountable Care Organization program.

By Elizabeth Barker January 24, 2017

Expert: Outlook for Value ‘Quite Unknown’ Under New President

Robert Berenson, healthcare industry expert, says the healthcare value movement still has a ways to go to realize its full potential.

By Jeni Williams January 24, 2017
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