Medicare Offers $1 Billion Increase, Policy Changes for Post-Acute Providers
Aug. 1—Post-acute care providers will see more than a $1 billion pay boost for FY19—along with a range of policy changes—as described in annual final rules issued by Medicare this week.
Medicare Proposes $760 Million 2019 Hospital Cut
July 27—A range of major hospital policy changes includes a $760 million cut as part of the 2019 Hospital Outpatient Prospective Payment System (OPPS) proposed rule.
Number of MSSP ACOs and Shared-Savings Characteristics
The number of ACOs participating in the Medicare Shared Savings Program increased at a faster rate from 2013 to 2018 than did the number of participants that achieved shared savings in the first four years of the program.
Medicare Advantage for More: A Pragmatic Alternative to Medicare for All
An expansion of Medicare Advantage presents an opportunity for the U.S. to test the waters of a single-payer system.
CY2019 Medicare End-Stage Renal Disease (ESRD) Prospective Payment System Proposed Rule: HFMA Executive Summary
CMS published a proposed rule updating payment rates under the Medicare End-Stage Renal Disease prospective payment system for CY2019, in the July 19, 2018, Federal Register.
CY2019 Home Health Prospective Payment System Proposed Rule: HFMA Executive Summary
This document summarizes the proposed rule updating payment rates under the home health PPS for CY2019, published by CMS.
Azar Promises Drugmaker Penalty Rule Coming
July 9—A five-times-delayed rule that would stiffen drugmaker penalties—among other provisions—will be implemented, the Trump administration’s healthcare policy leader told providers on Monday.
Transparency, Interoperability, DSH Changes Lead Hospital IPPS Concerns
July 6—Hospital advocates recently raised a range of concerns about proposed Medicare payment policy changes, including transparency and interoperability requirements and a new way to calculate uncompensated care payments.
HFMA Comments on FY2019 IPPS Proposed Rule
HFMA submitted comments to the Centers for Medicare & Medicaid Services (CMS) on the FY2019 IPPS proposed rule published in the May 7, 2018, Federal Register.
Will CPC Model’s Failings Follow into CPC+?
June 1—Improving the practice of medicine at the primary care level by deploying massive, publicly-funded incentives is complicated, but doable on the margins.