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.
Winning Direct Contracts with Employers
Pacific Business Group on Health, a leader in direct contracting, uses an extensive evaluation process to choose the provider organizations for its Employers Centers of Excellence Network.
Hospitals with PBGH Joint Replacement Contracts
Pacific Business Group on Health (PBGH), a membership organization that includes many of America’s largest healthcare purchasers, has developed direct contracts for joint replacements, spine procedures, and bariatric surgery with hospitals across the country.
Forum Webinar: Bundled Payment Models: CJR and More
During this May 17, 2016, webinar, a hospital leader and a bundled payment expert shared their perspectives about the challenges of implementing bundled payment programs, specifically related to orthopedic episodes and physician engagement.
Medicare Program: Medicare Clinical Diagnostic Laboratory Tests (CDLTs) Payment System Final Rule Summary
On June 17, 2016, CMS placed on public display a final rule, implementing revisions to the payment methodology for clinical diagnostic laboratory tests (CDLTs) paid under the Clinical Laboratory Fee Schedule (CLFS). The implementation date for the rule is January 1, 2018.
HFMA Comments on CMS’s MACRA Proposed Rule (CMS 5517-P)
HFMA submitted a comment letter to CMS on the MACRA Proposed Rule published in the May 9, 2016, Federal Register.
HFMA Summary: MSSP Revised Benchmark Rebasing Methodology Final Rule
The Centers for Medicare and Medicaid Services (CMS) published a final rule that would make important changes to the benchmarking rebasing methodology used in the Medicare Shared Savings Program (MSSP), among other changes.
Executive Summary – Final MSSP Benchmarking Rule
This document summarizes the Centers for Medicare & Medicaid Services's (CMS's) long awaited rule finalizing changes to the Medicare Shared Savings Program (MSSP) benchmark rebasing methodology, published in the June 10, 2016, Federal Register.
HFMA Comments on CMS’s FY17 IPPS Proposed Rule (CMS 1665-P)
HFMA submitted a comment letter to CMS on the FY17 Medicare Program Proposed Rule published in the April 27, 2016, Federal Register.