Payment Reimbursement and Managed Care

CMS’s 2018 IPPS Proposed Rule and RFI: Signaling the Trump Administration’s Deregulation Agenda

Ken Perez describes the connection between the effort to repeal and replace the Affordable Care Act and a new proposed rule and request for information by CMS.

Ken Perez May 8, 2017

Overview of the American Health Care Act

This slide deck summarizes the American Health Care Act as passed on May 4, 2017.

HFMA May 5, 2017

Charging Appropriately for Emergency Department Visits

To determine a fair charge for an emergency department visit, a hospital or health system must separate its costs into three categories.

David W. Young, DBA May 2, 2017

Alternative Payment Models at the State Level

In an effort to address rising healthcare costs, many states have implemented alternative payment models. 

François de Brantes April 28, 2017

Case Example: A Large Medical Group Transitions to Value

The transition to value makes it necessary for healthcare organizations to find new ways to adapt to change.

HFMA April 28, 2017

Where’s the Risk

The secret to success under value based payments is an organization’s ability to identify and stratify risk. Risk falls into four basic categories Financial risk—managing with less revenue than in the pastQuality related risk—meeting requirements for qualityClinical risk—achieving agreed upon

HFMA April 28, 2017

How the AHCA’s Failure Could Rekindle the Lost Art of Compromise in Washington

With stalled efforts on both sides of the aisle, it may be time for Democrat and Republican leaders to come together on healthcare legislation.

Ken Perez April 28, 2017

Preparing for Value-Based Payment: Fundamental Change That Encompasses the Revenue Cycle

The transition to value makes it necessary for healthcare organizations to find new ways to adapt to change.

Jon Melling April 28, 2017

Time for a Medicare Check-Up

A “Medicare check-up” can ensure a hospital is complying with regulations and maximizing revenue opportunities.

Charles L. Buttz April 28, 2017

From Multiple Health Plans Back to “No Plan”

Healthcare reform may have been temporarily sidelined, but the need to reform, repair, or replace the Affordable Care Act remains.

Gail R Wilensky, PhD April 28, 2017
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