Payment Trends

Analysis: ChenMed moves into new territory

ChenMed’s entrance into new markets will likely have an impact on ambulatory-sensitive ED visits and admissions for underserved Medicare Advantage patients.

Chad Mulvany, FHFMA December 11, 2019

Analysis: Timeline for CMS’s mandatory radiation oncology model appears to slip

It’s not surprising CMMI has slowed its pace on finalizing the proposed mandatory radiation oncology payment model given the complexity of the model and stakeholder opposition.

Chad Mulvany, FHFMA December 11, 2019

NFP hospital finances improve, Moody’s finds

Moody’s changed its outlook for not-for-profit hospitals from negative to neutral for 2020, citing improved revenue.

Rich Daly December 11, 2019

Analysis: More options for providers looking to directly contract with employers for episodes of care

Platforms like Carrum Health’s are meeting the demands of employers for higher-value care and the providers who want to meet these demands.

Chad Mulvany, FHFMA December 10, 2019

47 hospitals have closed in 2019, MedPAC reports

Hospital closures have doubled so far in 2019, compared with 2018, according to a MedPAC analysis.

Rich Daly December 10, 2019

4 goals for bundled payment: How a hospital succeeded under BPCI-A

Abington Hospital has enjoyed success under the Bundled Payments for Care Improvement Advanced model by focusing on four key goals, including identifying episodes with sufficient opportunities to reduce costs below CMS’s target prices.

Erin Hahn, MPH December 9, 2019

ACA tax drove 2018 healthcare spending acceleration, CMS actuaries find

National healthcare expenditures in 2018 increased slightly overall but declined as a share of the economy, according to a report from the CMS Office of the Actuary.

Rich Daly December 7, 2019

How CMS sets the target price for bundles under BPCI-A

Read a description of CMS's method for setting episode target prices under its Bundled Payments for Care Improvement Advanced model.

Erin Hahn, MPH December 2, 2019

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

New Briefs, December 2019

Recent news stories affecting healthcare finance

Rich Daly December 2, 2019
googletag.cmd.push( function () { googletag.display( 'hfma-gpt-leaderboard' ); } );