Payment Reimbursement and Managed Care

New Accountable Care Collaborative Shares Provider Stories

The Accountable Care Learning Collaborative is collecting case studies that illustrate how organizations are adopting accountable care. For example, one case study shares how the University of Texas Southwestern Medical Center tackled governance and physician engagement.

Ed Avis November 10, 2016

Price Transparency: Where Does the Hospital Industry Stand Today?

Two surveys reveal how hospital pricing transparency policies and trends have changed over a two-year period. 

Scott Houk November 10, 2016

MACRA Overview

This presentation provides an overview of the Medicare Access and CHIP Reauthorization Act (MACRA).

HFMA November 8, 2016

Executive Summary: CMS MACRA Final Rule

This document highlights important details of the final rule implementing the Medicare Access and CHIP Reauthorization Act (MACRA) made available on October 14, 2016.

HFMA October 26, 2016

Contracting for Chronic Disease Management

Illinois Gastroenterology Group negotiated a specialty intensive medical home contract with the state’s largest private payer.

Lola Butcher October 11, 2016

Ask the Experts: Out-of-Network Payments

What are some successful strategies for increasing the amount of charges paid by out-of-network insurance carriers?

HFMA October 11, 2016

HFMA Comments on CMS’s Advancing Care Coordination Through EPMs Proposed Rule

HFMA submitted comments to CMS on the Advancing Care Coordination Through Episode Payment Models proposed rule, published in the August 2, 2016, Federal Register.

HFMA October 5, 2016

MACRA Implementation Resource

This tool provides organizations with helpful tips to assist them in their MACRA implementation efforts.

HFMA October 4, 2016

HFMA Comments on CMS’s CY17 Medicare Hospital Outpatient PPS Proposed Rule

HFMA submitted a comment letter to CMS on the CY17 Hospital Outpatient PPS proposed rule, published in the July 14, 2016, Federal Register.

HFMA September 8, 2016

HFMA Comments on CMS’s CY17 Medicare Physician Fee Schedule Proposed Rule

HFMA submitted comments to Centers for Medicare and Medicaid Services (CMS) on a proposed rule relating to the Medicare physician fee schedule (PFS) for CY17 and other revisions to Medicare Part B policies published in the July 15, 2016, Federal Register.

HFMA September 7, 2016
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