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.
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.
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.
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.
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.
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.
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.
ACO Final Rule
The full text of the ACO Final Rule.
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.
Hospital Readmissions Reduction Program Overview
This fact sheet discusses aspects of the Hospital Readmissions Reduction Program, as mandated by the Affordable Care Act (ACA).