Negotiating Maternity Care Bundles
UTHealth’s maternity bundled payment pilot encountered two challenges: developing fair and consistent quality measures and defining what services would be part of the bundle.
Message to Providers: Expect More Pricing Scrutiny
Healthcare finance leaders should review their organizations’ cost structure to ensure that their healthcare spending consistently adds value to patient care.
Sidebar: Small Physician Practices and the Merit-based Incentive Payment System (MIPS)
An example of financial modeling for a small physician practice is provided to illustrate possible effects of MACRA’s Merit-Based Payment System on such a practice.
Analyzing Where to Invest for Success Under MACRA’s New Quality Payment Program
Financial modeling can help providers determine their best option among payment models available through CMS’s new Quality Payment Program.
Prepping for Maternity Care Bundles
Many healthcare leaders think episode of care payments make sense for maternity and newborn care, but few know how to make them work. Those at the forefront of this payment innovation share what they have learned.
MACRA Timeline: MIPS and Advanced APM Reporting Requirements for Payment Year 2019
This useful tool displays a MACRA final rule timeline of Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Model (Advanced APM) reporting requirements for payment year 2019.
The Challenge of Treating Addiction in America
HFMA President and CEO Joseph J. Fifer, FHFMA, CPA, talks about the need for healthcare stakeholders to face the challenge of treating addiction in America.
Medicare’s Quality Initiatives Present New Management Challenges
Value-based purchasing and reduction of readmissions and hospital-acquired conditions are coming into focus for hospitals thanks to Medicare initiatives.
Outlook for Healthcare Policy: Uncertain
Previous Republican initiatives to replace the ACA are being used to guide expectations about what a replacement measure would entail.
The ACA—and Other Healthcare Issues Confronting a New Congress
Republicans have promised to repeal the Affordable Care Act when Congress convenes in 2017, but they have other healthcare considerations to address, as well.