Making sense of Trump’s 2020 budget proposals for healthcare
Congress is almost certain not to accept president Trump’s proposed budget for FY20 with its cuts to Medicare and Medicaid, but he is not the first president to propose a budget that has little chance of being accepted.
Analysis: ACO survey identifies top barriers to bearing risk
Policymakers should take note of results of the recent NAACOs annual ACO survey identifying the top barriers to bearing risk.
May 13-17: See what events are coming in healthcare
May 13—Stay ahead of healthcare news and developments with this listing of hearings, conferences, webinars, contests, public forums and deadlines for the week of May 13. Highlights include HFMA webinars and another Centers for Medicare & Medicaid Services (CMS) webcast detailing the recently released Medicare primary care models. Monday, May 13 Start of submission period…
Ask the Experts: Provider Level Adjustments
Is there a best practice for handling provider level adjustments (PLBs) in electronic health record (EHR) systems?
Ask the Experts: Cost per day
Where can we find benchmarking data across other skilled nursing facilities related to costs per day for patient care?
Improving PHI Disclosure Efficiency in the Business Office
With pressure on providers to prove medical necessity and validate code assignments, business office staff must provide more patient information, such as medical records, putting greater demands on their time. Yale New Haven Health addressed this problem by implementing a centralized protected health information (PHI) disclosure management system.
Ask the Experts: SSI percentage and eligibility
How does your facility track its SSI percentage? Do you rely on the annual publication of SSI percentages issued by CMS?
4 strategies for improved Medicare Advantage plan performance
Positive operating margins in the Medicare Advantage segment require a shift toward more effectively managing Medicare populations by recognizing their unique needs and characteristics.
Bundled payment model begins accepting additional applicants
April 30—Following early withdrawals, the largest voluntary bundled payment program is offering a last chance for new participants to sign up. The Centers for Medicare & Medicaid Services (CMS) recently opened enrollment for the second cohort of the Bundled Payment for Care Improvement Advanced (BPCI-A) program. The new cohort of participants will begin in January 2020, the…
Several new Medicare primary care payment models to launch in 2020
Medicare eventually hopes to pay 25% of fee-for-service physicians under one of five primary care models planned for launch in 2020.