How leading health system CFOs are staying agile on the road to recovery
Making strategic decisions in the current environment is difficult, but CFOs are leading their organizations by creating a more performance-based culture and adopting an agile financial planning approach.
Cigna’s 2021 strategies highlight MA trends and the resulting effects on providers
One MA health plan discusses how it’s changing its Medicare Advantage plans in response to market trends, the pandemic, social determinants of health and Medicare policies.
How to lay the foundations for success under CMS’s new MDC program
The CMS Medicare Direct Contracting (MDC) program offers hospitals and health systems a unique opportunity take the next step in value-based payment and population health management. Success requires the right targeted investments in expertise and infrastructure.
Increased ACA uncertainty at the U.S. Supreme Court upon death of RBG
HFMA's Chad Mulvany says given the Supreme Court’s historically narrow view on severability, many legal experts doubt the court, even with its new makeup, will overturn the entirety of the ACA.
Mandatory Medicare ESRD model to launch in January 2021
A mandatory model for 30% of the clinicians and facilities treating kidney failure will launch Jan. 1.
CMMI announcement foreshadows more mandatory bundled payment models
HFMA's Chad Mulvany says based on recently announced changes to BPCI-A episodes, a mandatory model may be defined much broader than currently.
Amid the pandemic, cost control becomes hospitals’ top benefits-related focus, survey finds
Health systems have prioritized cost control in their personnel offices in response to the pandemic’s revenue impacts, a new survey found.
CMS drops MFAR, launches Medicaid value-based payment push
CMS drops MFAR, launches Medicaid value-based payment push.
Big Medicare bundled payment changes could cut participation, advisers say
Most BPCI-A participants will see major changes in 2021 ahead of a mandatory model in 2024, CMS says.
Despite the pandemic, hospitals continue to shift toward value-based payment
Hospitals plan to continue moving to value-based payment despite obstacles to caring for patients under risk-based contracts amid the COVID-19 pandemic.