Find the latest numbers and events shaping healthcare finance
Read about key events and the numbers shaping healthcare finance policy and practice in recent weeks.
CMS proposes extending mandatory bundled payment model for joint replacements
CMS plans to extend the Comprehensive Care for Joint Replacement program with modifications.
Comprehensive Care for Joint Replacement Model Proposed Rule Executive Summary
CMS released a proposed rule that would revise certain aspects of the Comprehensive Care for Joint Replacement model, including the episode of care definition, the target price calculation, the reconciliation process, the beneficiary notice requirements and the appeals process.
Many ‘failed’ federal healthcare quality programs need to end, analysts say
Experts on value-based payment say many federal programs have failed to produce results and need to be swept aside.
Fitch warns about a potentially big hit to NFP hospitals from Medicaid payment changes
The credit standing of not-for-profit hospitals could take a hit from proposed changes to aspects of Medicaid financing, according to a rating agency.
In response to providers, CMS offers further specifics about direct contracting
CMS officials further clarified the coming direct-contracting model during a series of discussions with providers.
Jan. 6-10: CMS direct-contracting updates are among upcoming healthcare finance events
A complete listing of healthcare finance-related hearings, conferences, webinars, public forums and deadlines for the week of Jan. 6.
“Medicare for All” isn’t equitable for all hospitals
A payment model in which 100% of payments are based on Medicare rates should take into account the inherent disadvantages of such an approach for the large hospitals, including academic medical centers, that provide most Medicare outlier cases.
Not like the others: House Ways and Means surprise bill legislation
Provider friendly House Ways and Means surprise bill draft legislation doesn't rely on a benchmark payment rate like competing versions.
Implications for a CFO-led strategic response to a Medicare-based payment system
If a payment model that bases payment on Medicare rates is adopted, CFOs should prepare for its financial implications by implementing a modified benchmarking system that accounts for outliers.