Payment Reimbursement and Managed Care

CY13 Medicare Physician Fee Schedule Proposed Rule Fact Sheet

This fact sheet contains information on the proposed rule released by CMS updating payment rates under the Medicare Physician Fee Schedule for calendar year 2013 (CY13).

HFMA October 18, 2012

HFMA’s Regulatory Sound Bites: An Overview of the Final 2013 Inpatient Prospective Payment Rule

This presentation highlights important information contained in the FY13 IPPS Final Rule. 

HFMA October 18, 2012

Medicaid Healthcare-Acquired Condition Fact Sheet

This document discusses noteworthy aspects of the final rule prohibiting payments to states for the treatment of healthcare-acquired conditions, and authorizes states to identify other preventable conditions for which Medicaid payment will be prohibited.

HFMA October 18, 2012

Hospital Inpatient Value-Based Purchasing Program Final Rule Fact Sheet

CMS published a final rule to implement a new hospital value-based purchasing program under which hospitals that meet or exceed certain quality measures relating to clinical process of care and patient experience of care would be rewarded incenctives beginning in FY13.

HFMA October 18, 2012

Bundled Payments for Care Improvement Initiative Fact Sheet

CMS announces its request for applications for providers to test episode-based payment for care using bundled payment methods under the Bundled Payment for Care Improvement initiative.

HFMA October 18, 2012

ACO Final Rule

The full text of the ACO Final Rule.

HFMA October 18, 2012

HFMA Comments on CMMI Bundled Payment for Care Improvement Initiative

HFMA, guided by members engaged in bundling payments and its Health Reform Advisory Council and Local Information Networks, proactively offers CMMI suggestions to improve the bundled payment pilot.

HFMA October 18, 2012

Hospital Readmissions Reduction Program Overview

This fact sheet discusses aspects of the Hospital Readmissions Reduction Program, as mandated by the Affordable Care Act (ACA).

HFMA October 18, 2012

Hospital Inpatient Value-Based Purchasing Program Fact Sheet

This fact sheet includes updates to the hospital inpatient value-based purchasing program developed by CMS to reward hospitals for meeting certain performance standards established for a performance period.

HFMA October 18, 2012

HFMA’s Value Project Steering Group: Phase 1 ;Steering group;Supporting the Value Project

 The Value Steering Group provides advice on project direction and findings as well as financial support of the HFMA Value Project.

HFMA October 17, 2012
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