CY 2019 OPPS/ASC Proposed Rule: HFMA Executive Summary|HFMA
CMS published a proposed rule updating OPPS/ASC payments for CY 2019, in the July 31, 2018, Federal Register.
Mandatory Bundle Gets Early Positive Results
Sept. 14—Hospitals in Medicare’s first mandatory bundled payment model succeeded in cutting Medicare gross spending in their first year, according to a new analysis. The results come as Trump administration executives say they plan to introduce more mandatory models.
Hospitals Express Opposition to E/M Code Changes
Sept. 12—A Medicare proposal to simplify evaluation and management (E/M) codes could hit hospitals’ bottom lines, hospital advocates recently warned the Trump administration.
Will New ACO Findings Save Upside-Only Models?
Sept. 11—A new analysis joins other research in reaching new conclusions about the extent of savings that accountable care organizations (ACOs)—especially upside-only models—provide Medicare. It’s a data battle that could determine whether many ACOs continue.
Health System Demonstrates Meaningful Price Transparency Is Possible
Baptist Memorial Health Care’s online Expense Navigator allows patients to estimate out-of-pocket expenses according to their insurance status and check their eligibility for financial assistance.
PTAC Recommends New Models Amid HHS Promises
Sept. 10—Amid Medicare promises to soon introduce new physician-focused payment models, its leading advisory panel recently approved new models for consideration.
HFMA Comments on the CY 2019 Physician Fee Schedule Proposed Rule
HFMA submits comments to CMS on the CY 2019 Medicare Physician Fee Schedule Proposed Rule, published in the July 27, 2018, Federal Register.
Sept. 10-14: Unified Post-Acute Payment System Emerging
Sept. 6—As post-acute care leaders gather outside Washington, D.C., for a conference next week, a major payment overhaul is coming together.
Medicaid Plans, Hospitals Clash over Proposed Kids Model
Sept. 5—Medicaid insurance companies and hospitals squared off in Congress this week over legislation to expand children’s medical homes nationally.
MSSP ACOs Save $314 Million, As Changes Loom
Aug. 31—Medicare’s main group of accountable care organizations (ACOs) delivered big 2017 savings. Will that affect the program’s fate?