Healthcare Reimbursement News

Are MACRA Changes Coming?

June 13—The growing criticism of Medicare’s new physician payment system has produced calls for Congress to overhaul it. And some policy experts expect changes.

By Rich Daly June 14, 2018

99 Percent of Physicians Who Seek APM Bonus Qualify for It

June 8—Ninety-nine percent of the 100,000 physicians who applied for the advanced alternative payment model bonus in the first available year qualified for it, according to a Medicare executive.

By Rich Daly June 8, 2018

The Trump Administration’s Approach to Value

Ever since HHS Secretary Alex Azar announced that one of his priorities for the U.S. healthcare system would be to accelerate the shift to value-based care, industry stakeholders have awaited insight into how he would turn that priority into to policy action. 

By Lia Winfield, PhD June 5, 2018

Will CPC Model’s Failings Follow into CPC+?

June 1—Improving the practice of medicine at the primary care level by deploying massive, publicly-funded incentives is complicated, but doable on the margins.

By Joseph Conn June 1, 2018

Video: The Evolution of Payment Models

François de Brantes, former vice president and director for the Altarum Payment Institute, discusses payment models.

By HFMA June 1, 2018

June 4-8: High-Deductible Health Plans Draw Congressional Scrutiny

May 31—Amid record-breaking enrollment in high-deductible health plans (HDHPs), a congressional panel plans to examine their growth and consider policies to bolster health savings accounts.

By Rich Daly May 31, 2018

FY2019 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Requirements

This document summarizes the FY2019 proposed rule updating the hospice wage index and payment rates.

By HFMA May 31, 2018

Bundled Payments for Care Improvement Advanced: 5 Critical Issues

When considering whether to participate in the Bundled Payments for Care Improvement Advanced program, hospitals and health systems should examine five key areas that could affect their performance under the program.

By John M. Harris, MBA May 30, 2018

How Medicare ACOs May Respond to Spiking Risk

May 29—Accountable care organization (ACO) leaders are girding for changes to the Medicare ACO program that may require the vast majority in upside-only models to take on downside risk.

By Rich Daly May 30, 2018

Areas of Healthcare Policy Agreement Would Target Hospitals

May 25—Emerging areas of bipartisan health policy agreement include hospital-targeted policies, according to policy experts.

By Rich Daly May 29, 2018
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