Healthcare Reform

Six Ways to Address Non-Performance-Related Variation in ACO Contracts

While not yet a perfect science, payers and providers can begin to address non-performance-related variation in a number of ways.

Karen Wagner January 22, 2015

Value-Based Reimbursement Resource

This too contains useful information on CMS's Value-Based Purchasing Program and other initiatives that will help improve the quality of care in hospitals.

HFMA December 19, 2014

Fact Sheet: Standards for Consumer Assistance Programs for Healthcare Insurance Exchanges

This fact sheet provides details of CMS's rule outlining training requirements applicable to assistance personnel in healthcare insurance exchanges mandated under the Affordable Care Act.

HFMA August 9, 2013

At a Glance: What the Final Health Insurance Exchange Navigator Rule Means for Providers

Can hospitals and health systems serve as navigators or other assisters for the health insurance marketplaces? Here’s what the CMS final rule has to say.

HFMA July 31, 2013

Medicaid Healthcare-Acquired Condition Fact Sheet

This document discusses noteworthy aspects of the final rule prohibiting payments to states for the treatment of healthcare-acquired conditions, and authorizes states to identify other preventable conditions for which Medicaid payment will be prohibited.

HFMA October 18, 2012

Hospital Inpatient Value-Based Purchasing Program Final Rule Fact Sheet

CMS published a final rule to implement a new hospital value-based purchasing program under which hospitals that meet or exceed certain quality measures relating to clinical process of care and patient experience of care would be rewarded incenctives beginning in FY13.

HFMA October 18, 2012

Bundled Payments for Care Improvement Initiative Fact Sheet

CMS announces its request for applications for providers to test episode-based payment for care using bundled payment methods under the Bundled Payment for Care Improvement initiative.

HFMA October 18, 2012

ACO Final Rule

The full text of the ACO Final Rule.

HFMA October 18, 2012

HFMA Comments on CMMI Bundled Payment for Care Improvement Initiative

HFMA, guided by members engaged in bundling payments and its Health Reform Advisory Council and Local Information Networks, proactively offers CMMI suggestions to improve the bundled payment pilot.

HFMA October 18, 2012

Hospital Readmissions Reduction Program Overview

This fact sheet discusses aspects of the Hospital Readmissions Reduction Program, as mandated by the Affordable Care Act (ACA).

HFMA October 18, 2012
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