Payment Models

Analysis: What CVS’s paid membership expansion means for healthcare

A review of the details of CVS’s new nationwide paid membership program and what this could mean for the healthcare industry.

Chad Mulvany, FHFMA August 15, 2019

Provider Risk Readiness Report

The results of a May 2019 HFMA study about risk readiness in which hospital and health system senior financial leaders share insights on their organizations’ risk capabilities and tolerance.

HFMA August 1, 2019

Slow expansion of SDOH benefits expected in 2020 MA health plans

MA health plans are expected to incrementally increase in 2020 their use of programs targeting the social determinants of health.

Rich Daly July 29, 2019

Analysis: New mandatory radiation therapy payment model

Details about the new five-year mandatory radiation therapy model released by CMS the week of July 8 are reviewed.

Chad Mulvany, FHFMA July 18, 2019

Mandatory models among 6 newly proposed Medicare demos

Mandatory models for kidney care and oncology were among six new Medicare payment models proposed in mid-July.

Rich Daly July 15, 2019

ZDoggMD: How to get to healthcare 3.0

Motivational healthcare speaker urges changes to encourage and allow providers to engage emotionally with patients and drive real change.

Rich Daly June 25, 2019

3 details for healthcare providers to know before taking on risk

Providers looking to take on downside ACO risk need to first understand three determinants of success.

Rich Daly June 25, 2019

What’s the blueprint for taking on risk?

Providers and health plans need to collaborate — both in the planning and execution of risk-based contracts — in order to make them work.

Rich Daly June 23, 2019

Medicare Advantage plans accelerating their move into SDOH, advocate says

Medicare health plans have increasing authority to grapple with the social determinants of health, and more are pursuing such initiatives.

Rich Daly June 12, 2019

Analysis: CMMI primary care initiatives: Potential opportunity but lots of questions

The five new alternative payment models offer multiple participation options for primary care practices of different sizes with advanced capabilities.

Chad Mulvany, FHFMA May 19, 2019
googletag.cmd.push( function () { googletag.display( 'hfma-gpt-leaderboard' ); } );