Physician Payment and Reimbursement

Ask the Experts: CJR Physician Gain Sharing Agreements

Are boilerplate CJR physician gain sharing agreement templates available or should agreements be created from scratch?

HFMA April 12, 2018

Contracting for Primary Care and Value Improves Patient Outcomes and Lowers Costs

Humana offers primary care practices four types of value-based contracts, but also customizes plans that emphasize population health or other initiatives.

Lola Butcher April 6, 2018

Value Initiative for IPA Performance Proves Its Worth

John Baackes, CEO of L.A. Care Health Plan, describes the plan’s approach to assessing the value of independent practice associations to ensure high-quality member service.

John Baackes March 19, 2018

MACRA Improvements Coming, CMS Official Says

March 13—A series of regulatory changes are coming to the Medicare physician payment system this year, including an effort to ease quality-data reporting by hospital-employed physicians.

Rich Daly March 14, 2018

Few Physicians Support Value-Based Models: Survey

Jan. 31—Most physicians are unconvinced that high-profile value-based payment models will either control costs or improve patient health outcomes, according to a recent survey.

Rich Daly February 1, 2018

Strategies to Measure Performance and Enhance Quality Under MIPS

Access to flexible, robust tracking tools that produce a range of actionable data are proving crucial for physicians participating in the primary track of MACRA.

Elizabeth Barker January 23, 2018

CMS Quality Payment Program CY18 Final Rule Summary

This document summarizes the CY18 Quality Payment Program (QPP) final rule.

HFMA December 6, 2017

CMS 2018 PFS Final Rule Summary

This document provides a detailed summary of the CY18 Physician Fee Schedule (PFS) final rule, published by CMS.

HFMA December 1, 2017

Executive Summary: CMS Quality Payment Program 2018 Final Rule

This document briefly summarizes key financial and operational impacts from the 2018 Quality Payment Program (QPP) final rule, published by CMS.

HFMA November 16, 2017

Executive Summary: CMS 2018 PFS Final Rule

This document highlights key financial and operational impacts from the CY18 PFS final rule, published by CMS.

HFMA November 10, 2017
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