PTAC Recommends New Models Amid HHS Promises
Sept. 10—Amid Medicare promises to soon introduce new physician-focused payment models, its leading advisory panel recently approved new models for consideration.
HFMA Comments on the CY 2019 Physician Fee Schedule Proposed Rule
HFMA submits comments to CMS on the CY 2019 Medicare Physician Fee Schedule Proposed Rule, published in the July 27, 2018, Federal Register.
Understanding Pricing Trends in a Changing Environment
Pricing data can help providers make more informed strategic decisions and build better relationships with their patients.
Should Physician-Led Models Get Value-Based Payment Privileges?
Joe Damore and Shawn Griffin describe the potential issues of granting special privileges to physician-led alternative payment models.
Health System-Owned Physician Practices: Are Any Losses Acceptable?
Health systems that own physician practices should fully address losses those practices incur and take steps to remediate the issues underlying those losses.
July 30-Aug. 3: As CMS Offers MIPS Review, Physicians Urge Its Preservation
July 26—Members of Congress and some physician leaders urged the continuation of Medicare’s Merit-based Incentive Payment System amid growing calls for its elimination. However, many agreed the system needs changes.
Medicare Physician Pay Rule Targets Reporting Burden
July 17—Physician advocates are hailing a range of Medicare policy changes that were included in a recently proposed payment rule and are aimed at reducing clinicians’ administrative burden.
Physician Distribution, Mobility, Fair Market Value and Compensation Surveys
An analysis of regional differences in physician compensation coupled with the general tendency against long-distance relocation shows there is no truly national market for established physicians. Rather, local market conditions must be considered in setting fair market value.
Choosing the Right Path Forward for Value-Based Care
Thomas Schenk, MD, of BlueCross BlueShield of Western New York describes the health plan’s approach to supporting primary care physicians with a capitated payment system that accounts for local-market characteristics.
Creating APMs for Specialty Care: A Provider-Led Initiative for Delivering Value
The experiences of a large urology group practice can provide finance leaders with insight into key considerations involved with developing an advanced alternative payment model (APM) for a healthcare specialty area.