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.
Overview of the American Health Care Act
This slide deck summarizes the American Health Care Act as passed on May 4, 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.
Alternative Payment Models at the State Level
In an effort to address rising healthcare costs, many states have implemented alternative payment models.
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.
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
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.
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.
Time for a Medicare Check-Up
A “Medicare check-up” can ensure a hospital is complying with regulations and maximizing revenue opportunities.
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.