Healthcare Reform

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.

HFMA March 4, 2016

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.

Lola Butcher February 9, 2016

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 January 12, 2016

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 September 2, 2015

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 July 1, 2015

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 June 22, 2015

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 May 22, 2015

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.

HFMA May 18, 2015

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.

Laura Ramos Hegwer February 12, 2015

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.

Karen Wagner January 22, 2015
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