HFMA Advancing Care Coordination Through Episode Payment Models (EPMs) Proposed Rule Summary
CMS proposes to make modifications to the CJR model, create three EPMs for care of AMI, CABG, and SHFFT, and create the CR Model using its authority under section 1115A. The proposed Cardiac Rehabilitation (CR) Incentive Program is also briefly described in the rule.
Executive Summary – Episodic Payment Model for Cardiac and Hip Fractures Proposed Rule
This brief summary features the top 10 issues providers need to understand from the Episodic Payment Model (EPM) for Cardiac and Surgical Hip Femur Fracture Treatment Proposed Rule.
Partnering With Healthcare Purchasers
Mount Sinai Health System partnered with a trade union to develop a bundled-payment program designed to improve patient outcomes and reduce the purchaser’s costs.
Ask the Experts: Bundled Payment Contracts
What are some changes in the way payment and reimbursement professionals should view health plan contracts when moving to bundled payments?
CY17 Medicare Physician Fee Schedule Proposed Rule Summary
This document summarizes the payment policies included in the CY17 Medicare Physician Fee Schedule proposed rule.
Merit-Based Incentive Payment System (MIPS): Clinical Practice Improvement Activities (CPIA) Performance Category Overview
Summary of the Clinical Practice Improvement Activities (CPIA) Performance Category of the Merit-Based Incentive Payment System (MIPS).
Key Financial and Operational Impacts from the Proposed 2017 Physician Fee Schedule (PFS) Rule
This summary provides key financial and operational impacts from the proposed 2017 physician fee schedule (PFS) rule.
CY17 Medicare Hospital Outpatient Prospective Payment System Proposed Rule Summary
This document provides a detailed summary of the Medicare Hospital OPPS and ambulatory surgical center (ASC) payment systems proposed rule for Calendar Year 2017 (CY17).
Executive Summary: CMS 2017 OPPS Proposed Rule
A brief summary of the Key financial and operational impacts from the 2017 hospital outpatient prospective payment system (OPPS) proposed rule.
MACRA Timeline: MIPS and Advanced APM Reporting Requirements for Payment Year 2019
A timeline for MIPS and Advanced APM reporting requirements for payment year 2019 under MACRA.