Payment Models

It’s time to acknowledge the success of CMS’s MSSP

Eye on Washington: The Medicare Shared Savings Program has achieved some noteworthy successes, and the program's continued ability to be successful will depend on physician leadership and involvement.

Ken Perez December 2, 2019

Analysis: Hospital at home will move inpatient admissions into the home

Acute care providers must analyze the risks and opportunities of participating in the at-home-hospital model of patient care.

Chad Mulvany, FHFMA November 20, 2019

One health system finds ‘millions’ of reasons to audit value-based payments

A health system identified millions of dollars in underpayments that it should have received as part of two value-based payment arrangements in recent years.

Rich Daly November 19, 2019

How one ACO leveraged universal truths of value-based contracting for success

A finance leader of successful East-coast accountable care organization describes the key factors that have enabled the ACO to thrive under value-based payment contracts.

Eric C. Reese, PhD November 18, 2019

Who’s afraid of the federal debt?

A review of the possible implications for alternative payment models and provider payment rates in the wake of the national debt cresting at $1 trillion with a possible recession looming.

Chad Mulvany, FHFMA November 5, 2019

Analysis: What to expect after the Texas vs. Azar ruling

There’s still much to be argued and dealt with regarding Texas versus Azar, and no final decision on the ACA should be expected until June 2020 at the earliest.

Chad Mulvany, FHFMA November 5, 2019

3 ways cost models are a key to success under risk

Business Intelligence: New primary care models can help healthcare organizations achieve financial goals.

Theresa Hush October 31, 2019

Provider alignment to get a boost under anti-kickback, Stark proposals: attorney

Provider initiatives to better align under value-based payment models would get a boost from proposed Stark and anti-kickback law enforcement changes.

Rich Daly October 15, 2019

Analysis: Initial thoughts on the President’s recent Medicare executive order

A review and insight on several key points in the President’s Medicare executive order issued Oct. 3.

Chad Mulvany, FHFMA October 9, 2019

Analysis: Walmart’s Sam’s Club unveils discount healthcare pilot program

A review of the Walmart Sam’s Club discount healthcare pilot program in three states and how the insight the company gleans about utilization and customer preferences will inform its health clinic concept pilot.

Chad Mulvany, FHFMA October 8, 2019
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