Catching Up on Your MIPS Strategy
A MIPS implementation plan involves creating a team, choosing metrics and a reporting mechanism, and looking at the new Medicare Part B payment model as part of your broader payer strategy.
Proposed 2018 OPPS/ASC Rule Summary
This document provides a detailed summary of the CY 2018 OPPS/ASC proposed rule, published by CMS.
Payment for Behavioral Health Care Is in Catch-Up Mode Under Value-Based Care
Don McDaniel makes a case for an integrated payment model for behavioral and medical services.
The Abuse and Misuse of Observation Services
Lack of limitations on observation status has led to confusion and increased expense among patients.
PAMA’s Impact on Laboratory Margins
Lâle White describes changes to come in 2018 as a result of CMS’s new clinical laboratory fee schedule.
Closing the Price Gap for Commodity Services
Healthcare leaders looking to be competitive in certain services must carefully consider strategies to lower prices.
Closing Health Care’s Value Gap
To ensure current and future success, healthcare providers must take deliberate action to bridge the gap between volume-based payment and value-based payment.
Medicare Advantage 2.0: Next Generation Growth Strategies
Healthcare organizations looking to expand their Medicare Advantage programs should look to market data for guidance.
Skyrocketing Prescription Drug Crisis: Action Needed
Legislative action by Congress is needed to address the problem facing the U.S. healthcare system from cost pressures caused by rising prescription drugs prices.
Taking Control of Pay-For-Performance Contracts
To ensure their organizations perform effectively under risk contracts, healthcare finance leaders should implement a work plan to manage the contracts.