Physician Payment and Reimbursement

Early Physician Involvement Vital in Advanced Care Delivery Models

When a healthcare organization plans to implement an advanced care delivery model, early physician involvement is key because of the role that physicians play in many parts of the operation.

Ed Avis November 6, 2017

Of Noise and Signal: Why Bundled Payment Keeps Moving Forward

CMS has not moved decisively in developing bundled-payment, episode-of-care payment models, leaving states and health plans to lead the way with innovative approaches.

Douglas W. Emery, MS November 2, 2017

Calling Into Question the Nation’s Commitment to Value-Based Health Care

There is widespread agreement that the goal of transitioning the nation’s healthcare system to value-based payment is important, but there remain many impediments to accomplishing such a transition.

Gail R Wilensky, PhD October 27, 2017

Understanding the Problem of Claim Processing Waste

Even small improvements in connectivity and transparency could save a few dollars per healthcare claim, which adds up very quickly.

Erin Murphy October 16, 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.

Rich Daly September 20, 2017

HFMA Comments on CY18 Physician Fee Schedule Proposed Rule

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

HFMA September 7, 2017

HFMA Comments on the CY18 Updates to the Quality Payment Program Proposed Rule

HFMA submitted comments to CMS on the CY 2018 Quality Payment Program proposed rule.

HFMA August 24, 2017

Contracting With Physicians to Tackle Pervasive Challenges

Hospital efficiency improvement programs allow organizations to address quality and efficiency goals across service lines by providing all inpatient-focused specialties with financial rewards if they achieve specific outcomes.

Jim Daniel August 15, 2017

Catching Up on Your MIPS Strategy

A MIPS implementation plan involves creating a team, choosing metrics and a reporting mechanism, and looking at the new Medicare Part B payment model as part of your broader payer strategy.

Laura Ramos Hegwer August 7, 2017

2018 Physician Fee Schedule Proposed Rule Summary

This document provides a summary of the CY 2018 Physician Fee Schedule proposed rule.

HFMA July 28, 2017
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