Payment Reimbursement and Managed Care

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.

John Harris, MBA January 9, 2017

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.

Lola Butcher January 9, 2017

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.

HFMA January 9, 2017

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.

HFMA January 3, 2017

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.

Paul Shoemaker December 19, 2016

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. 

Rich Daly December 19, 2016

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. 

Gail R Wilensky, PhD December 19, 2016

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
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