HFMA comments on the Senate Finance Committee Chairmen’s Audit & Appeal Bill
HFMA comments on the Senate Finance Committee Chairman's Mark of the AFFRIM Act to put forth solutions to the challenges faced by hospitals and beneficiaries from overlapping recovery audit programs.
Moving Forward: Case Studies
As part of its Value Project research, HFMA visits a number of healthcare organizations to learn firsthand how they are moving forward on the transition to value. The following three case studies are composites based on the organizations visited as
Determining the Process
Once an organization has identified its cost reconfiguration opportunities, it must put into place a process to ensure that those opportunities are realized and, once realized, maintained. Who should be involved? The overall
Assessing the Situation
As organizations position themselves for a value based care delivery and payment system, they must be alert both to opportunities for reducing cost structure and to the need to build the capabilities and make the investments needed to engage in
FY16 IPPS Proposed Rule Fact Sheet
The fact sheet provides a summary of CMS's proposed rule updating payment rates for FY16 under the Medicare IPPS for operating and capital-related costs of acute care hospitals.
HFMA Comments on CMS Bundled Payments for Care Improvement (BPCI) Initiative
HFMA proactively comments on issues related to CMS’s BPCI initiative to provide recommendations to address design issues with the episodes and other operational and administrative barriers.
HFMA Executive Survey: Value-Based Payment Readiness
HFMA Executive Survey: Value-Based Payment Readiness explores ways hospitals are readying their value-driving capabilities and determining ROI of efforts in an environment where incentives increasingly are focused on improving quality and reducing costs of care delivery for patient populations.
Summary of H.R. 2: The Medicare Access and CHIP Reauthorization Act of 2015
This document summarizes key provisions of the The Medicare Access and CHIP Reauthorization Act of 2015 pertaining to the sustainable growth rate formula and other health-related topics.
HFMA Comments on Medicare Short Stay Payment Policy
HFMA comments on issues related to Medicare’s current payment policy for short stays, the Recovery Audit Contractor (RAC) program, and the impact of both on Medicare beneficiaries.
HFMA Comments on Hospital Improvements for Payment Act of 2014 Discussion Draft
HFMA comments to the U.S. House Committee on Ways and Means on the challenges of the Medicare Recovery Audit Contractor program and other policies that have had negative unintended consequences.