Direct contracting models offer promise of expedited shift to value-based care
CMS’s Direct Contracting Models offer providers some substantial benefits, including access to capitation payments for Medicare fee-for-service members — without the investment costs in brokers and marketing to move members into Medicare Advantage.
Analysis: How a longer-term delay to Medicaid DSH cuts may play out
A review of CMS’s recent rule finalizing the ACA’s mandated Medicaid DSH cuts for FY2020 and how it may play out if some legislators demand changes to the rule.
Analysis: Wage index changes in the IPPS Final Rule
A review of why a couple of the key changes to the CMS FY2020 IPPS Rule may not bring the desired results.
Analysis: CMS final discharge planning rule
A review of the final rule and suggestions for related HFMA resources.
Analysis: Tennessee proposes an overhaul to funding of its Medicaid program
HFMA's Chad Mulvany reviews Tennessee’s proposal to overhaul funding of its Medicaid program and shares why CMS is likely to reject it.
Analysis: Site-neutral payment ruling favors hospitals for now
A Sept. 17 ruling by a U.S. District Judge favored hospitals by overturning the CMS rule that cut Medicare payments for E&M visits in certain hospital-based settings.
Analysis: Employers have a healthcare cost growth problem
A discussion on the unsustainable growth rate of employer-sponsored health benefits and how industry participants can help them.
Making price transparency easy for patients
Proactive providers are preparing for additional price transparency requirements to ensure they not only comply with government regulations, but also provide patients with enough information to make informed healthcare decisions.
Analysis: New public charge rule will drive up healthcare costs
A review of the public charge rule, scheduled to take effect Oct. 15, and how it will impact payments to health system utilization and bottom lines.
Analysis: UAW provides direct primary care to manage healthcare costs
A review of the benefits for both healthcare providers and unions when they partner to offer union members direct primary care.