Medicare Shared Savings Program Proposed Benchmarking Rule Summary
This document highlights the important changes that would be made to the benchmarking rebasing methodology used in the Medicare Shared Savings Program (MSSP), among other changes.
How CHRISTUS Health Supports Exchange Enrollment
CHRISTUS Health appoints regional executives who work with coalition partners to reach market-specific health insurance exchange enrollment goals.
Ask the Experts: Non-Contracted Insurer Payment Rates
How can providers respond when non-contracted insurers offer payments limited to some share of Medicare payments for a given service?
HFMA Comments on CMS’ FY2016 Hospital OPPS Proposed Rule
HFMA highlights concerns and provides recommendations on key payment policy issues in the FY16 Medicare outpatient PPS proposed rule.
HFMA Comment Letter: CMS’ FY2016 Hospital IPPS Proposed Rule
HFMA comments on the CMS analysis and discussion of the myriad Medicare hospital reimbursement decisions addressed in the 2016 IPPS Proposed Rule.
HFMA comments on the Senate Finance Committee Chairmen’s Audit & Appeal Bill
HFMA comments on the Senate Finance Committee Chairman's Mark of the AFFRIM Act to put forth solutions to the challenges faced by hospitals and beneficiaries from overlapping recovery audit programs.
HFMA Comments on CMS Bundled Payments for Care Improvement (BPCI) Initiative
HFMA proactively comments on issues related to CMS’s BPCI initiative to provide recommendations to address design issues with the episodes and other operational and administrative barriers.
HFMA Executive Survey: Value-Based Payment Readiness
HFMA Executive Survey: Value-Based Payment Readiness explores ways hospitals are readying their value-driving capabilities and determining ROI of efforts in an environment where incentives increasingly are focused on improving quality and reducing costs of care delivery for patient populations.
NY Rural Providers Turn Medical Homes into an ACO
What makes this medical home project different from many others around the country is that it is an all-payer pilot. After lengthy negotiations between providers and payers, the health plans agreed to pay the medical homes $7 per member per month to care for some 100,000 patients during the first year.
Accounting for Non-Performance-Related Variation in Shared Savings Contracts
Variation between targeted and actual PMPM costs can be due to numerous factors, including many that have nothing to do with the quality or cost of care provided to ACO members.