Payment approaches to addressing health equity are seen in a new Medicare rule for kidney care
Updates to a Center for Medicare & Medicaid Innovation care model for end-stage renal disease include an equity-related bonus payment and associated changes to benchmarking.
The impact of COVID-19 further shows the need to modify federal pay-for-performance models, hospital advocate says
Quality measures derived during the COVID-19 pandemic are not an accurate gauge of hospital performance in federal programs such as Value-Based Purchasing.
Addressing U.S. healthcare system challenges requires a focus on improving health, not just care
If we are to effectively address the huge cost challenges facing the U.S. health system, we must begin to better address the cost effectiveness of health, says Todd Nelson, HFMA’s director of professional practice and partner relationships. And it has to be through a collaborative process involving all stakeholders, he says, including not just hospitals and health systems, physicians and health plans but also patients and their communities, as well as society overall.
Accountable care models will be almost universal for Medicare and Medicaid beneficiaries by 2030, CMS leaders say
A forthcoming revamp of federal value-based payment models will include features designed to encourage provider participation, CMS and CMMI leaders said.
Healthcare M&A activity for Q3 remains low in volume but high in impact, firms report
The number of M&A transactions involving hospitals and health systems remained at historically low levels, but the average revenue involved was far higher than in recent years.
Consumerism and the transition to value are among the trends drawing strategic reactions from healthcare providers, survey finds
A recent survey finds healthcare providers working to ensure their strategic planning incorporates key trends, spurring innovations in care delivery models.
The stakes are only growing in efforts to improve the cost effectiveness of health, CMMI’s Elizabeth Fowler says
The head of the Center for Medicare & Medicaid Innovation spoke with an HFMA audience about the importance of efforts at the federal level and beyond to improve the cost effectiveness of health.
Focus on thought leadership and better practices: A testament to HFMA’s vision and purpose
From its very inception, HFMA has embraced the idea of thought leadership and professional practice. Major milestones have included the Principles and Practices Board, The Patient Friendly Billing Project, The Value Project and the recent focus on consumerism.
Report by Medicare trustees describes a daunting payment picture for healthcare providers
The Medicare Hospital Insurance Trust Fund is on course to run out of money by 2026, and that assessment wasn’t the only concerning part for hospitals in a new government report.
4 keys to sustaining financial viability in the shift to value
A leading ACO in Texas has found a way to thrive despite systemic factors that can discourage value-based initiatives.