6 common ground healthcare issues that may help in overcoming discord
In the nation's current political climate and the prevailing partisan divide, healthcare is home to six issues where there is political common ground that could lead to bipartisan solutions.
Ripple effects of the pandemic on the move toward value
In this HFMA executive roundtable, seven executives for health systems and health plans share how the pandemic has impacted their organization’s move toward value — and what it will take to foster transparency and trust under these models.
Why effective maternity care requires an innovative, value-based strategy
An episode-of-care approach may be the best way to address cost variation in maternal care and promote partnerships across the healthcare continuum.
Medicare readmissions reduction program penalizes hospitals inaccurately, study finds
The hospital readmissions reduction program incorrectly penalizes hundreds of hospitals, according to new research.
Changes coming to bundled payments and Direct Contracting, CMMI chief says
Coming changes will affect both Medicare bundled payment programs and the looming Direct Contracting program, said the director of the Center for Medicare and Medicaid Innovation.
How to apply a value equation in setting compensation for specialty providers
An effective value-based compensation system for surgical specialists should not only account for the physician’s service, quality of care and financial performance, but also the extent to which the physician exhibits high standards of citizenship.
CMS to add COVID-19-related waivers to value-based payment models, Verma says
Medicare plans to add pandemic-era waivers to its value-based payment models as a way to incentivize provider participation.
340B cuts, inpatient-only elimination lead hospitals’ OPPS concerns
Proposed OPPS cuts for 340B hospitals and outpatient payment changes drew the most concerns from hospitals and advocates.
CMS Administrator Seema Verma receives HFMA’s Board of Directors Award, talks with CEO Joe Fifer
At HFMA's Digital Annual Conference, President and CEO Joe Fifer presented CMS Administrator Seema Verma with the Association's highest honor: the Richard L. Clarke Board of Directors Award in recognition of her outstanding contributions to healthcare in a role that involves oversight of a $1 trillion budget, representing 26% of the total federal budget, and administration of health coverage programs for more than 130 million Americans. Following the presentation, Fifer and Verma had a Q&A session in which she addressed price transparency, the pandemic, and the future of value-based care.
Q&A: Humana expands value-based payment push
One MA health plan discusses how it’s pushing further into value-based payment and what that means for providers.