Bundled Payment

Analysis: Timeline for CMS’s mandatory radiation oncology model appears to slip

It’s not surprising CMMI has slowed its pace on finalizing the proposed mandatory radiation oncology payment model given the complexity of the model and stakeholder opposition.

Chad Mulvany, FHFMA December 11, 2019

Analysis: More options for providers looking to directly contract with employers for episodes of care

Platforms like Carrum Health’s are meeting the demands of employers for higher-value care and the providers who want to meet these demands.

Chad Mulvany, FHFMA December 10, 2019

4 goals for bundled payment: How a hospital succeeded under BPCI-A

Abington Hospital has enjoyed success under the Bundled Payments for Care Improvement Advanced model by focusing on four key goals, including identifying episodes with sufficient opportunities to reduce costs below CMS’s target prices.

Erin Hahn, MPH December 9, 2019

How CMS sets the target price for bundles under BPCI-A

Read a description of CMS's method for setting episode target prices under its Bundled Payments for Care Improvement Advanced model.

Erin Hahn, MPH December 2, 2019

3 features that distinguish BCPI-A from its predecessor

There are three primary ways in which the Bundled Payments for Care Improvement Advanced (BCPI-A) differs from the original BPCI model.

Douglas Ardoin Jr., MD, MBA October 3, 2019

How to present data to physicians to obtain their buy-in for a BCPI-A initiative

Healthcare administers should take four actions when presenting data to physicians to elicit their support for a initiative under the Bundled Payments for Care Improvement Advanced model.

Douglas Ardoin Jr., MD, MBA October 3, 2019

Only a tiny share of hospital revenue is risk-based: Moody’s

Just 1.9% of net patient revenue for not-for-profit (NFP) hospitals in 2018 came from risk-based payment, according to a credit-rating agency.

Rich Daly September 19, 2019

Proposed mandatory models should be voluntary or delayed, providers say

The latest proposed mandatory Medicare payment models drew concerns from many providers, including hospitals that cited the potential for adverse financial impacts.

Rich Daly September 18, 2019

Navigant Consulting, Inc.: Hospitals and Health Systems Prepare to Assume More Risk

: This research highlight discusses key takeaways from a May 2019 HFMA study of hospital and health system senior financial executives about their organizations’ interest in and capabilities for assuming risk.

HFMA August 31, 2019

Analysis: How a union’s plan could foreshadow changes in maternity care nationwide

HFMA’s Chad Mulvany reviews why he expects more employers to follow the lead of Local 32BJ’s and state Medicaid programs and implement both episodic payment models for pregnancy and non-payment for elective, pre-term C-sections.

Chad Mulvany, FHFMA August 28, 2019
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