Value Based Payment

OPPS final rule keeps site-neutral payments and 340B cuts, leaves out transparency requirement

The Medicare OPPS final rule will continue 340B and site-neutral payment cuts but leaves out the requirement to post rates negotiated with health plans.

Rich Daly December 6, 2019

Dec. 9-13: Hearing on proposals to expand government insurance coverage is among upcoming healthcare finance events

A complete listing of healthcare finance-related hearings, conferences, webinars, public forums and deadlines for the week of Dec. 9.

Rich Daly December 6, 2019

Upside-only pay surges as risk-based pay, clinical results remain flat, scorecard finds

Bonus-based value payment models have proliferated among employer health plans, while risk-based payment and performance on clinical quality indicators have not changed significantly, according to a recently published scorecard.

Rich Daly December 5, 2019

Medicare reopens deadline for providers to signal interest in direct contracting

Primary care physicians will have another chance to apply and participate in the delayed Direct Contracting model with Medicare.

Rich Daly December 4, 2019

Retailers partnering with healthcare companies to expand access

A review of newly announced partnerships between Walgreens and United Healthcare and Kroger and Ascension.

Chad Mulvany, FHFMA December 3, 2019

Dec. 2-6: HFMA Seminars are among upcoming healthcare finance events

HFMA Seminars are among the major healthcare finance events taking place the week of Dec. 2.

Rich Daly November 27, 2019

Take this job and shove it: 2 PTAC members quit in frustration over CMMI opposition to committee recommendations

The result of CMMI’s reluctance to accept recommendations from the field is one of many factors that stymies the transition to value.

Chad Mulvany, FHFMA November 26, 2019

Analysis: How traditional healthcare providers can compete with innovators and progressive incumbents

Providing high-quality and cost-efficient services is the first step traditional healthcare providers must take to stave off business disruption by new entrants and progressive incumbents into the market.

Chad Mulvany, FHFMA November 22, 2019

Nov. 25-29: CMS comment deadlines are among the week’s healthcare finance events

Deadlines to comment on various CMS initiatives affecting hospitals are among the major healthcare finance events taking place the week of Nov. 25.

Rich Daly November 21, 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
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