HFMA Comments on CMS Bundled Payments for Care Improvement (BPCI) Initiative
HFMA proactively comments on issues related to CMS’s BPCI initiative to provide recommendations to address design issues with the episodes and other operational and administrative barriers.
Summary of H.R. 2: The Medicare Access and CHIP Reauthorization Act of 2015
This document summarizes key provisions of the The Medicare Access and CHIP Reauthorization Act of 2015 pertaining to the sustainable growth rate formula and other health-related topics.
HFMA Comments on Medicare Short Stay Payment Policy
HFMA comments on issues related to Medicare’s current payment policy for short stays, the Recovery Audit Contractor (RAC) program, and the impact of both on Medicare beneficiaries.
HFMA Comments on Hospital Improvements for Payment Act of 2014 Discussion Draft
HFMA comments to the U.S. House Committee on Ways and Means on the challenges of the Medicare Recovery Audit Contractor program and other policies that have had negative unintended consequences.
CY15 Medicare Physician Fee Schedule Final Rule Fact Sheet
This document highlights important payment updates to physicians under the CY15 Medicare Physician Fee Schedule (PFS) final rule.
HFMA Comments on the Proposed Rule on the Medicare Shared Savings Program
HFMA commended CMS for its efforts to modify the Medicare Shared Savings Program (MSSP) to ensure its sustainability. However, HFMA had specific recommendations for improvement.
Medicare Shared Savings Program Proposed Rule Fact Sheet
This fact sheet summarizes proposed changes by CMS that would update policies governing the Medicare Shared Savings Program.
Accounting for Non-Performance-Related Variation in Shared Savings Contracts
Variation between targeted and actual PMPM costs can be due to numerous factors, including many that have nothing to do with the quality or cost of care provided to ACO members.
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.
CY15 OPPS Final Rule Fact Sheet
This fact sheet highlights payment rate updates under the OPPS for CY15.