Healthcare Reform

The ACA—and Other Healthcare Issues Confronting a New Congress

Republicans have promised to repeal the Affordable Care Act when Congress convenes in 2017, but they have other healthcare considerations to address, as well. 

Gail R Wilensky, PhD December 19, 2016

A Framework for Predicting the Trump Administration’s Health Policy Moves

Considered unpredictable by many, the policies of President-elect Donald Trump’s administration are beginning to take shape in health care.

Ken Perez December 19, 2016

MIPS Implementation: What Healthcare Stakeholders Need to Know

Healthcare policy expert Billy Wynne analyzes what providers need to know heading into implementation of the Merit-based Incentive Payment System (MIPS) component of MACRA.

Lisa Zamosky December 19, 2016

HFMA Advancing Care Coordination Through Episode Payment Models (EPMs) Proposed Rule Summary

CMS proposes to make modifications to the CJR model, create three EPMs for care of AMI, CABG, and SHFFT, and create the CR Model using its authority under section 1115A. The proposed Cardiac Rehabilitation (CR) Incentive Program is also briefly described in the rule.

HFMA August 19, 2016

Executive Summary – Episodic Payment Model for Cardiac and Hip Fractures Proposed Rule

This brief summary features the top 10 issues providers need to understand from the Episodic Payment Model (EPM) for Cardiac and Surgical Hip Femur Fracture Treatment Proposed Rule.

HFMA August 16, 2016

Ask the Experts: Bundled Payment Contracts

What are some changes in the way payment and reimbursement professionals should view health plan contracts when moving to bundled payments?

HFMA August 10, 2016

Forum Webinar: Bundled Payment Models: CJR and More

During this May 17, 2016, webinar, a hospital leader and a bundled payment expert shared their perspectives about the challenges of  implementing bundled payment programs, specifically related to orthopedic episodes and physician engagement.

HFMA July 1, 2016

HFMA Summary: MSSP Revised Benchmark Rebasing Methodology Final Rule

The Centers for Medicare and Medicaid Services (CMS) published a final rule that would make important changes to the benchmarking rebasing methodology used in the Medicare Shared Savings Program (MSSP), among other changes.

HFMA June 21, 2016

Executive Summary – Final MSSP Benchmarking Rule

This document summarizes the Centers for Medicare & Medicaid Services's (CMS's) long awaited rule finalizing changes to the Medicare Shared Savings Program (MSSP) benchmark rebasing methodology, published in the June 10, 2016, Federal Register.

HFMA June 17, 2016

HFMA Comments on CMS’s Proposed Changes to the Medicare Shared Savings Program

HFMA submitted a comment letter to CMS on the proposed changes to the Medicare Shared Savings Program (MSSP) benchmarking and trending methodologies published in the February 3, 2016, Federal Register.

HFMA March 30, 2016
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