Author: HFMA Contributing Writer

RAC Recoveries Increase, as Problems Persist

Oct. 12—An update of Medicare’s overpayments recoupment program isn’t giving providers much hope for change in a system they say unfairly takes and holds their money for long periods, if not for good.

Cheryl V. Jackson October 12, 2018

Bundled Payment Deals Prompt Hospitals to Rethink Relationships with SNFs

Aug. 14—Hospital and health system CFOs who are trying to make bundled payments work may find an answer in closer clinical alignment with skilled nursing facilities (SNFs), according to a new study.

David Burda August 14, 2018

Rewarding Investment in Social Determinants of Health

Aug. 10—Healthcare providers and health insurers would be far more likely to spend money on health-improving social programs if they could count on a monetary return on their investment.

David Burda August 10, 2018

March Toward Value-Based Care Slipping: Survey

July 18—A new survey of physicians and health plan execs says the march toward value-based care is slipping, throwing shade on other surveys that say the transition to outcomes-based payment is on track.

David Burda July 18, 2018

Hospital Concerns Push CMS Time Out on Star Ratings

June 15—The stars and the data didn’t align for the Centers for Medicare & Medicaid Services (CMS), which said this week that it was postponing its scheduled July update to the agency’s star ratings for some 4,000 hospitals nationwide.

David Burda June 15, 2018

Health Plan-Provider Insurance Partnerships Pick Up Speed

June 11—The year of the crossover healthcare deal shows no signs of slowing down with the release of new figures that point to a record number of new health insurer-provider sponsored insurance products in 2018.

David Burda June 11, 2018

Teaching Hospitals Boost Community Spending: Study

June 4—Teaching hospitals are seeing a decrease in charity spending decrease while increasing their spending in community health promotion, according to new research.

Cheryl V. Jackson June 4, 2018

Will CPC Model’s Failings Follow into CPC+?

June 1—Improving the practice of medicine at the primary care level by deploying massive, publicly-funded incentives is complicated, but doable on the margins.

Joseph Conn June 1, 2018

Not-for-Profit Hospital Downgrades Increased in 2017: Report

March 27—Credit pressures drove more downgrades of not-for-profit (NFP) hospitals in 2017 than in 2016, with the NFP sector exceeding the downgrade-to-upgrade ratio of the recession years of 2008 and 2009, according to a report this month by Moody's Investors Service. 

Rebecca Vesely March 28, 2018

Proposal to Eliminate MIPS Appears to Lack Provider Buy-in

March 26—The Medicare Payment Advisory Commission (MedPAC) earlier this month announced a proposal to drop the Merit-based Incentive Payment System (MIPS) program as part of its annual report to Congress on needed changes to Medicare payment policies. 

Rod Moore March 27, 2018
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