Value Based Payment

In a win for hospitals, CMS removes a rate-reporting requirement from the Medicare FY22 Inpatient Prospective Payment System

An FY22 requirement for hospitals to disclose privately negotiated MA rates on their Medicare cost reports has been rescinded in the proposed rule for the Inpatient Prospective Payment System.

Nick Hut April 29, 2021

Why the federal agency that oversees healthcare payment innovation is rethinking its approach

The director of the Center for Medicare & Medicaid Innovation is conducting a “strategic refresh” of the agency to consider how the healthcare industry’s transition to value can be improved.

Nick Hut April 25, 2021

CMMI announces Direct Contracting participants but cancels second round of applications

The Center for Medicare & Medicaid Innovation announced the 53 entities that have been accepted as participants in the new Global and Professional Direct Contracting model.

Nick Hut April 9, 2021

Financial Analytics Leadership Council members share 5 challenges, responses to pandemic’s financial long haul

Financial leaders discuss how the pandemic has impacted revenue, volume and expenses, which has thus created a need for data and analytics.

HFMA March 31, 2021

Risk contracting: Outlook and success factors for hospitals and health systems

An December 2020 HFMA survey, sponsored by GHX, found high levels of optimism, overall regarding the future of value-based payment.

Eric C. Reese, PhD March 30, 2021

Implications of the HFMA-GHX study of risk-based contracting

In this article discussing implications of the findings of a December 2020 HFMA study, sponsored by GHX, healthcare leaders share their perspectives on key factors contributing to their organizations' success under value-based contracts.

Eric C. Reese, PhD March 30, 2021

Health system leaders share top approaches for success under value-based payment

Three health system executives discuss the key factors that have contributed to their organizations’ long-standing success with value-based payment models.

Eric C. Reese, PhD March 25, 2021

“Every one of us can make a change.” Dr. Zeev Neuwirth discusses how every stakeholder can improve the industry.

HFMA President and CEO Joe Fifer interviews Dr. Zeev Neuwirth about the dangers of fee-for-service and how every stakeholder has a responsibility to move the industry forward.

Erika Grotto March 25, 2021

Healthcare News of Note: Biden administration appears to be well-aligned with all sectors of the industry

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles, including the industry’s alignment with President Biden, why many HHS regulations could be in peril and the effect of vaccines on chronic COVID-19 symptoms.

Deborah Filipek March 12, 2021

Denials management: An underrated tool for optimizing value-based revenue

Effective denials management not only supports a strong revenue stream under existing fee-for-service payment models, but also is a key tool for managing the full range of value-based payment contracts.

Daniel J. Marino March 1, 2021
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