Payment Reimbursement and Managed Care

A Framework for Predicting the Trump Administration’s Health Policy Moves

Considered unpredictable by many, the policies of President-elect Donald Trump’s administration are beginning to take shape in health care.

Ken Perez December 19, 2016

MIPS Implementation: What Healthcare Stakeholders Need to Know

Healthcare policy expert Billy Wynne analyzes what providers need to know heading into implementation of the Merit-based Incentive Payment System (MIPS) component of MACRA.

Lisa Zamosky December 19, 2016

CY17 OPPS Final Rule Summary

This document summarizes the financial and operational impacts of CMS's CY17 OPPS final rule.

HFMA December 15, 2016

CY17 Medicare Physician Fee Schedule Final Rule Summary

This document provides a summary of important CY17 Medicare Physician Fee Schedule updates.

HFMA November 29, 2016

Negotiating a Joint-Venture Health Plan

Aspirus is one of many health systems that partner with insurance companies to form joint-venture health plans that bring healthcare financing and delivery closer together.

Lola Butcher November 28, 2016

Ask the Experts: Payment Adjustments and Meaningful Use

Our organization has not made any effort to attest to meaningful use, and we have received a notice from CMS with attestation deadline dates in February 2017. Will we experience payment adjustments in the upcoming fiscal year? How can I confirm our status?

HFMA November 28, 2016

Executive Summary: CMS 2017 PFS Final Rule

This document provides the key financial and operational impacts from the 2017 PFS final rule, published in the November 15, 2016, Federal Register.

HFMA November 18, 2016

Executive Summary: CMS 2017 OPPS Final Rule

This document summarizes key financial and operational impacts from the FY17 OPPS final rule.

HFMA November 16, 2016

Merit-Based Incentive Payment System (MIPS)

This document summarizes the details of the MIPS final rule.

HFMA November 10, 2016

Hospitals Lag in Value-Based Payment but Plan for the Future

Although only one quarter of hospitals will meet CMS’s 2018 goal for value-based care, the majority are on track to increase value-based models within the next three years.

HFMA November 10, 2016
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