Analysis: UnitedHealthcare expands MA bundled payment plan offerings for 2020
HFMA’s Chad Mulvany says UnitedHealthcare’s move to expand its bundled payment offerings to providers in its Medicare Advantage plans in more than 30 states is a step in the right direction in support of providers’ efforts to transition to value-based payment models.
Analysis: Making smarter decisions about where to recover after hospitalization | HTML
HFMA’s Chad Mulvany looks at why the transition from acute to post-acute is one of the greatest opportunities to improve clinical outcomes, the patient/caregiver experience of care and reduce the total cost of care for older adults.
3 ways to remove the mystery from value-based payments
Daniel M. Grauman and Amanda Brown explain how analytic tools can assist a healthcare organization in identifying areas for improvement in value-based payments.
Policy changes needed to prevent hospital-based Medicare ACOs from being disadvantaged by high-cost patients switching from physician-led ACOs
CMS needs to implement changes to Medicare’s ACO models that hold hospital-led ACOs harmless when high-cost beneficiaries switch from physician-led ACOs.
‘Medicare for All’: Do the numbers
Healthcare leaders can foster a productive debate about “Medicare for All” by driving analyses based on data such as cost projections, writes HFMA President and CEO Joseph J. Fifer.
Analysis: How overcoming some hurdles can help providers manage PAC spend
HFMA’s Chad Mulvany discusses how the PAC-spending results of a recent study on older patients with joint replacements could easily apply to any number of common episodes of care experienced by Medicare beneficiaries.
Analysis: What factors will come into play as stakeholders respond to a recent decision on Medicaid work rules
Key things to look for from all stakeholders even though the latest work requirement ruling only applies to the Kentucky and Arkansas cases.
Analysis: CMS looks to partner with states to expand dual-eligible care models
CMS is encouraging states to test approaches to integrating dual-eligible patients’ care to improve outcomes and reduce costs for federal and state governments.
Analysis: FY20 inpatient payment rule proposes changes to DSH, wage index
Chad Mulvany offers insight on some of the recent proposed changes to hospital Medicare IPPS payments. Issues discussed include the wage index, new technology add-on payments and FY20 UC DSH Factor 3.
Analysis: Another year closer to depleting the Part A Trust Fund
With the predicted depletion of Medicare’s hospital insurance fund, and Congress unlikely to increase taxes for working people or hike costs for beneficiates, what should healthcare finance leaders expect?