Medicare Advantage concepts come to Medicare fee-for-service with Geographic Direct Contracting Model
While the MA Stars Rating program is a bonus program where plans can earn additional revenue for achieving high scores, quality in the Geographic Direct Contracting program is treated more like a penalty, says HFMA's Chad Mulvany.
Financial Sustainability Report: November 2020
The November 2020 Financial Sustainability Report, sponsored by Kaufman Hall, explores the long-term implications for hospitals and health systems of the deferral of elective procedures at the start of the COVID-19 pandemic, and it provides insights into healthcare organizations’ need for consumer-focused strategies. Other topics include 340B compliance and revenue cycle redesign after COVID-19.
Amid some resistance by healthcare workers, COVID-19 vaccine delivery continues to roll out
Amid the early rollout of COVID-19 vaccines, provider organizations are urging reluctant clinicians and other employees to take the inoculation.
Hospitals begin to receive first doses of COVID-19 vaccines
Hospitals and other providers that were prioritized in state COVID-19 vaccine distribution plans have begun to receive and administer their first doses.
CMS waiver for hospital-at-home designed to address COVID-19-driven capacity issues | HFMA
While it’s been rumored that the Center for Medicare & Medicaid Innovation was working on a hospital-at-home model, this is a short-term waiver designed to address COVID-19-driven capacity issues, said HFMA’s Chad Mulvany.
Patient visit restrictions bringing many new costs
Ongoing hospital visitor restrictions can have a range of adverse effects, potentially affecting clinical outcomes and increasing costs for health plans and providers in value-based payment models.
Connecticut’s launch of a bundled payment program for its employee health plan is part of an effort to save the state $185 million | HFMA
HFMA’s Chad Mulvany says some state governments, like Connecticut, have high enough volumes that COVID-19 may accelerate their adoption of value-based payment models.
CMS unveils the Geographic Direct Contracting model
The Geographic Direct Contracting model will test full-risk arrangements for healthcare entities serving thousands of Medicare beneficiaries within defined geographic areas.
Coming coronavirus surges will hit hospitals harder than earlier spikes did, disease expert says
An infectious disease expert expects hospitals to have larger COVID-19 patient surges than they’ve had to date.
Big value-based payment shifts may happen during a Biden administration
A Biden administration could undertake many changes to federally operated value-based payment models, say industry watchers.