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MAP App is a web-based application that helps organizations improve revenue cycle performance based on industry-standard metrics called MAP Keys.
Find suppliers and products in this comprehensive vendor directory for healthcare finance professionals.
Guidance for understanding and communicating about the price of health care.
Transformation toward value-based healthcare is reshaping the delivery of care, patient expectations, and payment structures.
Improve your revenue cycle performance through standard metrics, peer comparison, and successful practices.
In the FY12 IPPS final rule, CMS outlines the requirements of the hospital readmissions reduction program that it intends to implement in the FY12, FY13, and future IPPS LTCH PPS rulemaking cycles. Provided is the section of the FY12 IPPS
This spreadsheet, based on the CMS proposed shared savings rule, can be used to calculate potential shared savings/losses from forming a Medicare ACO.
HHS issued a proposed rule implementing the new affordable insurance exchanges (Exchanges) mandated by the Affordable Care Act (ACA) that will provide competitive marketplaces for individuals and small employers to directly compare available private health insurance options on the basis of price, quality, and other factors.
This resource provides a way to track the actions that states are taking to implement health insurance exchange development.
CMS announces its request for applications for providers to test episode-based payment for care using bundled payment methods under the Bundled Payment for Care Improvement initiative.
A group of providers participating in PROMETHEUS Payment project pilots discuss challenges and opportunities healthcare organizations will face in transitioning to a value-based system.
This executive summary highlights major provisions of the ACO proposed rule published by CMS. Section by section bullet points follow the summary.
HFMA President and CEO Dick Clarke addresses key impacts of the healthcare reform law, describes key organizational competencies that are critical for success, and profiles organizations that exemplify these competencies.
CMS published a final rule to implement a new hospital value-based purchasing program under which hospitals that meet or exceed certain quality measures relating to clinical process of care and patient experience of care would be rewarded incenctives beginning in FY13.
A summary of CMS's report to Congress outlining the key principles, challenges, and options that must be considered when developing a plan for implementing a value-based purchasing program for ASCs.
On May 17, 2011, the Centers for Medicare & Medicaid Services (CMS) announced that it is accepting applications for the Pioneer Accountable Care Organization Model (Pioneer ACO Model). The Pioneer ACO Model is designed to encourage organizations experienced in providing
This tool provides questions to help prepare your organization for health insurance exchanges.
HFMA comments on CMS's proposed rule on Medicare Shared Savings Program: Accountable Care Organizations.
This document contains tables with useful dates and timelines pertaining to Stage 2 meaningful use criteria published in the September 4, 2012, final rule.
This table from CMS outlines the differences between the Proposed Rule and the Final Rule for Accountable Care Organizations in the Medicare Shared Savings Program.
During HFMA's recent Thought Leadership Retreat, participants explored how healthcare providers can develop the key competencies needed to succeed under value-based business models.
This roundtable discusses how new payment models are going to impact the revenue cycle and how organizations plan to prepare for new market realities.
This fact sheet includes updates to the hospital inpatient value-based purchasing program developed by CMS to reward hospitals for meeting certain performance standards established for a performance period.
This summary describes the stage 2 criteria that eligible professionals (EPs), eligible hospitals, and critical access hospitals (CAHs) must meet in order to qualify for Medicare and Medicaid electronic health record incentive payments.
HFMA has compiled a resource catalog of content related to the proposed health insurance exchange regulations and the Essential Benefits Bulletin.
Below are links to bundled payment resources CMMI Bundled Payment Freeware Analysis Package View the resource for developing bundled payment bids.
This fact sheet dicusses aspects of the Hospital Readmissions Reduction Program, as mandated by the Affordable Care Act (ACA).
Provides an overview of physician and hospital payment demonstration projects sponsored by private sector organizations and CMS.
This presentation highlights the major initiatives contained in the new health reform bill.
Dan Michelson recalls the tragic event of one year ago with the bombing of the Boston Marathon and asks us all to reflect on the finest qualities of our healthcare system—qualities that became so profoundly evident in health care’s heroic response to the horrific event.
Tom Myers, chief strategy officer, The SSI Group, discusses the shifting payment environment and how it affects providers' patient access and claims management processes.
Jeff Chester, senior vice president and chief revenue officer at Availity, shares his thoughts on "Revenue Cycle 2.0" and how to best meet its challenges.
Mitch Morris, vice chair and global leader, healthcare, Deloitte, and Michael O'Rourke, senior vice president and chief information officer, Catholic Health Initiatives (CHI), share perspectives on the need for transformational IT in health care today.
Brian Kueppers, founder and CEO, Apex, discusses the importance of a robust patient payment strategy in boosting organization revenue and enhancing patient satisfaction.
Brian Grazzini, CFO, HealthPort, describes the importance of efficient and compliant information exchange and audit management in helping HIM staff spend less time on paperwork and more on mission-critical projects.
Cindy Matthews, executive vice president, Community Hospital Corporation, discusses how rural and community hospitals can use collaborative partnering to position for success through tough market conditions.
Rick Heise, senior vice president, revenue cycle, at Cerner Corporation, discusses the importance of integrating clinical and financial data to excel in health care’s changing payment environment.
Russ Graney, founder and CEO for Aidin, and John Laursen, head of business development for Aidin, share insights on how to improve care transitions between acute and post-acute care settings and incentivize high-quality patient outcomes.
Scott Elston, strategic accounts manager, GE Healthcare Services, describes how substantial cost reduction in health care requires rethinking business strategy and asset use.
Robert Williams, MD, director, Deloitte Consulting LLP, and Arielle Freiberger, product strategist, ConvergeHEALTH by Deloitte, explain how sophisticated retrospective, real-time, and predictive data analytics can inform decision making to reduce costs and improve care.
Stuart Hanson, director of business development (healthcare solutions) at Citi Retail Services, discusses how improving the payment experience can benefit consumers and healthcare providers.
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