Medicare Advantage 2.0: Next Generation Growth Strategies
Healthcare organizations looking to expand their Medicare Advantage programs should look to market data for guidance.
Taking Control of Pay-For-Performance Contracts
To ensure their organizations perform effectively under risk contracts, healthcare finance leaders should implement a work plan to manage the contracts.
Executive Summary: Proposed 2018 OPPS/ASC Rule
This document provides a brief summary of the 2018 OPPS/ASC proposed rule updates.
Survey Reveals Opportunities for Physician MACRA Education
Most clinicians rely heavily on their physician groups and hospitals to report quality measures and that reliance will continue with Quality Payment Program participation.
Overview of the Better Care Reconciliation Act as Drafted on June 28, 2017
This presentation summarizes the Better Care Reconciliation Act as drafted on June 28, 2017.
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?