MACRA

Federal funding legislation would address Medicaid DSH cuts, physician payments and more

March 8 update The Senate passed the appropriations bill by a 75-22 vote, getting it to the White House for President Joe Biden to sign hours before funding for some federal departments would have expired and a big cut to Medicaid disproportionate share hospital payments would have begun. Attention now turns to HHS and other…

Nick Hut March 6, 2024

Senate bill would give hospitals a big break from looming Medicaid disproportionate share hospital cuts (updated)

Nov. 15 update: On Nov. 14, the House passed legislation on a bipartisan basis to keep the government funded through Jan. 19. Medicaid disproportionate share hospital payments would be guaranteed to remain at their full amount through that date, and the bill similarly maintains short-term funding for graduate medical education, community health centers and the…

Nick Hut November 13, 2023

Study quantifies the cost to physician practices of participating in the Merit-based Incentive Payment System

MIPS participation led to high administrative costs and a significant time drain, according to new research.

Nick Hut June 8, 2021

New research suggests there’s no need to worry that patient experience surveys lead to low-value healthcare

Findings from a new study may assuage concerns that low-value care is encouraged through the use of patient experience ratings in payment formulas.

Nick Hut June 1, 2021

Looming changes to quality reporting in the Medicare Shared Savings Program draw strong pushback from healthcare providers

Healthcare provider organizations are petitioning the Biden administration to slow recently finalized quality-related changes to the Medicare Shared Savings Program.

Nick Hut May 18, 2021

Providers urge Congress to act quickly on COVID-19 assistance, value-based payment

Hospitals and other providers are urging the lame-duck Congress to provide more COVID-19 provider relief and to tweak rules for physicians in value-based payment models.

Rich Daly November 22, 2020

Physicians score well in Quality Payment Program but receive little for it

HFMA's Chad Mulvany says the Merit-based Incentive Payment System (MIPS) program needs to be simplified to allow all providers to participate without it being overly burdensome.

Chad Mulvany, FHFMA November 5, 2020

CMMI announcement foreshadows more mandatory bundled payment models

HFMA's Chad Mulvany says based on recently announced changes to BPCI-A episodes, a mandatory model may be defined much broader than currently.

Chad Mulvany, FHFMA September 17, 2020

More physicians shift from MIPS to APMs in Medicare

Increasing numbers of physicians paid by Medicare are shifting from the default quality-reporting-based payment option to earning bonus payments by participating in other payment models.

Rich Daly January 8, 2020

Analysis: CMS releases 2018 QPP participation results

A review of the results of the 2018 CMS Quality Payment Program and what’s increasing the percentage of physicians participating.

Chad Mulvany, FHFMA August 2, 2019
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