Several new Medicare primary care payment models to launch in 2020
Medicare eventually hopes to pay 25% of fee-for-service physicians under one of five primary care models planned for launch in 2020.
HFMA’s Payment Reform Project White Papers
HFMA has led a payment reform thought leadership initiative to identify the principles that should guide changes to the current healthcare payment system and the competencies that providers will need to succeed. The initiative's findings and recommendations are summarized in these white papers.
Medicare Physician Fee Schedule Final Rule: 3 Must-Do Steps for Physicians
The Medicare Physician Fee Schedule for 2019 includes a variety of new policies—and revenue opportunities for providers if they take a few key steps in relation to areas such as payment rates, documentation requirements, and new services.
CY 2019 MPFS Final Rule Executive Summary Presentation
This presentation briefly summarizes the CY 2019 updates to payments and other programs contained in the MPFS final rule, published by CMS.
CY 2019 Medicare Physician Fee Schedule Final Rule
This document briefly summarizes the payment rate updates under the CY 2019 Medicare Physician Fee Schedule final rule, published by CMS.
Mixed News in Physician Payment Final Rule
Nov. 2—Leading physician advocacy groups are celebrating some provisions in the final rule issued by Medicare this week. But other components could cause problems.
Physicians Want APM Changes to Slow—Contrary to Administration’s Plans
Oct. 30—Physicians across the country are concerned about rapid changes in alternative payment models (APMs) and want the process to slow down, according to a recent study. Meanwhile, Trump administration officials say physicians should prepare for accelerated changes.
Comprehensive Compliance-Focused Processes for Physician Arrangements
Karin Chernoff Kaplan reviews the basics—and the importance—of establishing consistent processes for setting up and managing physician compensation agreements and thresholds that avoid regulatory problems.
Medicare Quality Pay Leads Practice Regulatory Burden
Oct. 2—Although insurance prior authorization and electronic health record (EHR) interoperability have garnered extensive attention as challenges for medical practices, a new survey fingers Medicare quality payment programs as the biggest hindrance.
CY2019 Medicare Physician Fee Schedule Proposed Rule
This document summarizes updates contained in the CY2019 Medicare Physician Fee Schedule proposed rule, published by CMS.