Part B Drugs Revisited—Yet Again
Payment and pricing for Medicare Part B drugs are subjects of much discussion again following the decision by CMS to withdraw its planned pilot projects for these drugs.
HFMA Comments on CMS’s FY18 IPPS Proposed Rule
HFMA submitted comments to the CMS on the FY18 IPPS proposed rule published in the April 28, 2017, Federal Register.
UAB’s Patient Navigation Program Saves $19 Million Annually
UAB Health System used a novel care model to reduce hospitalizations, emergency department visits, and intensive care stays for patients with complex cancers.
Using New Distribution Models to Prepare for Bundled Payment Models
Hospitals that want to reduce costs as part of their bundled payment strategy should consider sales representative relationship changes.
Ask the Experts: Observation Status
How does your facility manage appropriate charging for observation hours, excluding any of the procedure times that are not permitted?
FY18 Proposed Changes to the Long-Term Care Hospital (LTCH) Prospective Payment System
This document summarizes the FY18 payment rate updates under the long-term care hospital prospective payment system (LTCH PPS), published by CMS in the April 28, 2017, Federal Register.
Q&A: Exploring the Nuances of MACRA
Physician practices and other healthcare organizations should be aware of various nuances that will affect their performance in both the MIPS and advanced APM tracks of MACRA.
Gauging the Financial Impact of MIPS
The financial impacts of MIPS scores can amount to millions of dollars per organization and will significantly grow over the next several years.
FY18 IPPS Proposed Rule Summary
This document provides a comprehensive summary of the FY18 IPPS proposed rule, published by CMS.
Health Systems Brace for MACRA
Hospitals and health systems are working to help their physicians succeed under MACRA, which means moving quickly to advanced APMs.