Value Based Payment

Optum’s naviHealth acquisition will help lower the total cost of care for UHC members and Optum physician practice patients

Optum's naviHealth purchase rounds out is capabilities, ensuring its UHC members — particularly MA members and Optum's practices' patients — receive the right care in the right setting at the right time post hospitalization.

Chad Mulvany, FHFMA June 4, 2020

CMS acts to limit losses for participants in value-based payment programs during COVID-19

CMS offered numerous ways that providers in value-based payment models can reduce their financial risk during the COVID-19 pandemic.

Rich Daly June 4, 2020

Study: Medicare Advantage enrollees less likely than traditional Medicare enrollees to use both institutional post-acute care and home health care

HFMA's Chad Mulvany says where there is competition for PAC discharges, providers should partner with high-quality PAC providers.

Chad Mulvany, FHFMA June 2, 2020

Building a healthcare finance center of excellence: a view from the C-suite

Finance centers of excellence are not necessarily physical locations but rather a collection of the right people, tools and practices to help organizations achieve better financial performance.

Frank Stevens June 1, 2020

New rule aims to sustain Medicare ACOs in wake of COVID-19

A new Medicare rule aims to ease the financial challenges COVID-19 has created for accountable care organizations.

Rich Daly May 26, 2020

CMS’s second COVID-19 interim final rule further relaxes Medicare regulations

HFMA's Chad Mulvany provides details on key provisions of CMS's second COVID-19 interim final rule.

Chad Mulvany, FHFMA May 5, 2020

Mandatory bundled payment program for joint replacement makes changes to accommodate hospitals during COVID-19

Medicare’s largest mandatory bundled payment program is striving to adapt to the unique challenges the coronavirus has created for its hospital participants.

Rich Daly April 30, 2020

Increased Medicare payments for COVID-19 care to stretch back to late January

Medicare will pay add-on bonuses for hospitals' patients treated with COVID-19 as far back as late January, says CMS.

Rich Daly April 21, 2020

March 23-27: CMS webinars are among a proliferation of online-only events in healthcare finance

A complete listing of healthcare finance-related hearings, conferences, webinars, public forums and deadlines for the week of March 23.

Rich Daly April 1, 2020

Risk-based contracting in the time of coronavirus

The APM target prices/benchmarks are among the many policy issues beyond paying for surge capacity that CMS, commercial health plans and providers will need to work through in the wake of the coronavirus outbreak.

Chad Mulvany, FHFMA April 1, 2020
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