Health Plan Resources

A collection of resources to help health plan leaders navigate the challenges and opportunities in this new era of health care.

Resources

How To | Value-Based Payment
An episode-of-care approach may be the best way to address cost variation in maternal care and promote partnerships across the healthcare continuum.
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News | Value-Based Payment
The hospital readmissions reduction program incorrectly penalizes hundreds of hospitals, according to new research.
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News | Value-Based Payment
Coming changes will affect both Medicare bundled payment programs and the looming Direct Contracting program, said the director of the Center for Medicare and Medicaid Innovation.
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News | Value-Based Payment
The hospital readmissions reduction program incorrectly penalizes hundreds of hospitals, according to new research.
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News | Value-Based Payment
Coming changes will affect both Medicare bundled payment programs and the looming Direct Contracting program, said the director of the Center for Medicare and Medicaid Innovation.
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News | Medicaid Payment and Reimbursement
States are moving to cut their Medicaid inpatient hospital rates amid the pandemic and its more than 400,000 hospitalizations.
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Blog | Managed Care
HFMA's Chad Mulvany says it’s imperative that everyone in the U.S. supports safety-net hospitals, or there will be an increase in the disparities in access to basic healthcare services between the haves and have-nots.
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Blog | Healthcare Reform
HFMA's Chad Mulvany says given the Supreme Court’s historically narrow view on severability, many legal experts doubt the court, even with its new makeup, will overturn the entirety of the ACA.
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Blog | Bundled Payment
HFMA's Chad Mulvany says based on recently announced changes to BPCI-A episodes, a mandatory model may be defined much broader than currently.
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