Federal Health Policy Changes Expected After Mid-Terms
May 4—The healthcare industry should prepare for major federal healthcare policy changes after the federal congressional election five months from now, no matter which party is in the majority, say policy analysts.
Closing the Gaps in Value-Based Care
Jeffrey Springer describes five steps in the evolution of value-based care.
Are You Ready for MACRA and MIPS: The New Healthcare Payment Reform
Value-based payment models, such as MACRA and MIPS, will require that coders capture the severity of illness as well as acute and chronic patient conditions.
Azar Plans ‘Fundamental Rethinking’ of Provider Pay
May 2—A newly proposed direct primary care payment model is part of a “fundamental rethinking of provider compensation” by the federal government, said Health and Human Services (HHS) Secretary Alex Azar II.
Value-Based Payment and Cost of Care
HFMA President and CEO Joseph J. Fifer, FHFMA, CPA, offers perspectives on new research showing that value-based payment has yet to reduce the total cost of care.
Where Health Plan-Provider Value-Based Partnerships Trip Up
May 1—An inability to successfully integrate clinical and claims data is among the key challenges in creating and sustaining health plan-provider value-based partnerships, said an executive involved in one such effort.
Medicare Offers Post-Acute Care Pay Boost
April 30—Faced with operating headwinds, post-acute care providers stand to garner an unexpected FY19 payment boost from Medicare.
HFMA Overview: Affordable Care Act HHS Notice of Benefit and Payment Parameters for 2019 Summary of Final Rule
This presentation summarizes the Notice of Benefit and Payment Parameters for 2019 final rule, published by CMS, in the April 17, 2018, Federal Register.
HFMA Regulatory Overview: 2019 Medicare Advantage Final Rule
This presentation provides an overview of CMS's 2019 Medicare Advantage program final rule, published in the April 16, 2018, Federal Register.
Choosing the Right Path Forward for Value-Based Care
Thomas Schenk, MD, of BlueCross BlueShield of Western New York describes the health plan’s approach to supporting primary care physicians with a capitated payment system that accounts for local-market characteristics.