Analysis: 2018 Medicare ACO results: Promising but not sufficient
A review of CMS’s recently released 2018 MSSP prompts HFMA’s Chad Mulvany to suggest as a society, the U.S. needs find additional ways to close the deficit between our means to pay for federal healthcare programs and what these programs cost.
Analysis: What to expect after the Texas vs. Azar ruling
There’s still much to be argued and dealt with regarding Texas versus Azar, and no final decision on the ACA should be expected until June 2020 at the earliest.
Nov. 4-8: A Medicare advisers meeting is among the week’s national healthcare events
The Medicare Payment Advisory Commission’s two-day public meeting is among major healthcare finance events taking place this week.
3 components of shared risk executives need to know
Jennifer Carney, vice president, finance and analytics, for Beth Israel Lahey Health Performance Network (BILHPN), describes three basic components of shared-risk contracts.
Amid lagging hospital risk taking, value-based payment advocates try to woo CFOs
Hospital CFOs are seen by others in healthcare as the key to spurring organizations and the industry at large to move from fee for service to risk-based payment models.
How a ‘mini-Optum’ saved $85 million in three years by emphasizing primary care
A Texas clinically integrated network has used a primary care physician-focused approach to lower healthcare spending by $85 million over three years.
More Medicaid programs increase hospital payment rates
More states have moved to increase hospitals’ Medicaid rates than to cut them — reversing a pattern from the last fiscal year.
Oct. 19-25: CMMI leader to address value-based care executives
Healthcare finance policy events for the week of Oct. 21 include an address from a CMMI executive, HFMA webinars and a deadline for comments on advance beneficiary notices.
Allocating capital to medical technology in the age of value-based payment
As value-based payment and risk-bearing contracts become more prevalent, hospital leaders will be incentivized to incorporate methods that provide increased transparency and evidence into whether a technology improves patient outcomes at the lowest possible cost of care.
Provider alignment to get a boost under anti-kickback, Stark proposals: attorney
Provider initiatives to better align under value-based payment models would get a boost from proposed Stark and anti-kickback law enforcement changes.