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HFMA
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Comparison of Proposed 2027 OPPS Addendum A with July 2026 Addendum A
HFMA provides a spreadsheet comparing relative weights and payment rates at the APC level, using the 2027 OPPS proposed rule Addendum A compared to 2026 Addendum A.
Comparison of Proposed 2027 ASC Addendum BB to 2026 Addendum BB
This spreadsheet compares ASC covered ancillary services integral to covered surgical procedures, using 2027 proposed rule Addendum BB compared to 2026 Addendum BB.
Comparison of Proposed 2027 ASC Addendum AA to 2026 Addendum AA
This spreadsheet compares relative weights and payment rates for ASC covered surgical procedures at the HCPCS level, using the 2027 proposed rule Addendum AA compared to 2026 Addendum AA.
CY 2027 OPPS/ASC Proposed Rule Summary
HFMA presents a detailed summary of the proposed rule published by CMS on July 7, 2026, updating OPPS payment policies that apply to outpatient services provided to Medicare beneficiaries.
Medical management is too often overlooked in hospitals’ workforce strategy
Hospital leaders understand better than most that health is not abstract. Every day, they see what happens when chronic conditions go unmanaged, behavioral health needs go unsupported and patients enter the system later than they should. Yet, when hospitals look inward at their own workforce, medical management is still too often treated as a benefits…
CY 2027 Home Health Prospective Payment System Proposed Rule Summary
HFMA presents a detailed summary of the proposed rule that would update the payment rates for home health agencies for calendar year 2027.
Finding the right 5%: How predictive analytics is reshaping population health management
Healthcare organizations face a familiar challenge: identifying which members are most likely to experience clinical deterioration before costly complications occur. As financial pressures intensify and workforce shortages continue, health plans, employers and provider organizations must allocate limited care management resources with increasing precision. The question is no longer whether organizations should stratify risk — it…
HFMA Comments on the FY 2027 Hospital IPPS and LTCH Proposed Rule
HFMA comments on CMS’s FY 2027 Hospital Inpatient Prospective Payment System and Long-Term Care Hospital Proposed Rule.
Preventing denials before they happen: How revenue intelligence is reshaping the revenue cycle
Health systems continue to invest heavily in denial management. Yet denial volumes remain stubbornly high. The reason is simple: Most organizations are still focused on addressing denials after they occur rather than preventing them in the first place. Roughly 15% of claims are initially denied, and hospitals spent nearly $19.7 billion in 2022 appealing denied…
Leveraging integrated workforce data is integral to transforming healthcare performance
With rising labor expenses, staffing challenges, and growing complexity in operations, leaders now look for innovative methods to maximize the benefits of workforce data and boost organizational performance. This white paper shares how to develop a workforce optimization cycle in your organization, along with insight into why it’s necessary and the risks of inaction.