Value Based Payment

HFMA’s Digital Annual Conference continues Aug. 12 and Aug. 14 with more virtual education for healthcare finance professionals

HFMA's Digital Annual Conference continues Aug. 12 and Aug. 14 with a focus on optimizing performance with the latest KPIs, using analytics strategies to lower cost and maximize revenue and using behavioral economics to engage patients.

Deborah Filipek January 22, 2021

The healthcare value imperative: All eyes on North Carolina’s move to value-based payment

Hospitals and health systems nationwide can benefit from the insights of North Carolina health system executive whose organizations are leading the way in the state’s transition to value-based payment.

Eric C. Reese, PhD December 18, 2020

Medicare Advantage concepts come to Medicare fee-for-service with Geographic Direct Contracting Model

While the MA Stars Rating program is a bonus program where plans can earn additional revenue for achieving high scores, quality in the Geographic Direct Contracting program is treated more like a penalty, says HFMA's Chad Mulvany.

Chad Mulvany, FHFMA December 17, 2020

CMS waiver for hospital-at-home designed to address COVID-19-driven capacity issues | HFMA

While it’s been rumored that the Center for Medicare & Medicaid Innovation was working on a hospital-at-home model, this is a short-term waiver designed to address COVID-19-driven capacity issues, said HFMA’s Chad Mulvany.

Chad Mulvany, FHFMA December 14, 2020

Patient visit restrictions bringing many new costs

Ongoing hospital visitor restrictions can have a range of adverse effects, potentially affecting clinical outcomes and increasing costs for health plans and providers in value-based payment models.

Rich Daly December 11, 2020

Connecticut’s launch of a bundled payment program for its employee health plan is part of an effort to save the state $185 million | HFMA

HFMA’s Chad Mulvany says some state governments, like Connecticut, have high enough volumes that COVID-19 may accelerate their adoption of value-based payment models.

Chad Mulvany, FHFMA December 10, 2020

CMS unveils the Geographic Direct Contracting model

The Geographic Direct Contracting model will test full-risk arrangements for healthcare entities serving thousands of Medicare beneficiaries within defined geographic areas.

Rich Daly December 9, 2020

Big value-based payment shifts may happen during a Biden administration

A Biden administration could undertake many changes to federally operated value-based payment models, say industry watchers.

Rich Daly December 8, 2020

Walmart’s plans to test narrow networks selected on quality could set stage for a shift in employer-sponsored insurance

Walmart plans a ground-breaking test of narrow networks for its employee health plan that will test both enrollee acceptance and physician cooperation.

Rich Daly December 8, 2020

Stark, Anti-Kickback changes draw praise from providers

Final rules modifying enforcement of the Stark Law and the Anti-Kickback Statute aim to remove barriers to participation in value-based payment models.

Rich Daly December 1, 2020
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