CY16 Medicare Physician Fee Schedule Final Rule Fact Sheet
CMS has released a final rule with comment period that will revise payment polices under the Medicare Physician Fee Schedule for CY16.
Finding Success in the Physician Feedback Program/Value-Based Modifier
By taking certain steps, physician practices can make the most of CMS’s quality outcome feedback and payment program.
How CHRISTUS Health Supports Exchange Enrollment
CHRISTUS Health appoints regional executives who work with coalition partners to reach market-specific health insurance exchange enrollment goals.
Executive Summary – Proposed MSSP “Benchmarking” Rule
The Centers for Medicare & Medicaid Services (CMS) released proposed changes to the Medicare Shared Savings Program (MSSP) benchmark rebasing methodology. The rule also includes several other significant changes that impact risk.
HFMA Comments on Medicare Program IPPS 0.2 Percent Reduction
HFMA comments on the assumptions CMS used to justify cutting payments to hospitals under the IPPS by .2% as outlined in Medicare Program: Inpatient Prospective Payment Systems; 0.2 Percent Reduction.
Comprehensive Care for Joint Replacement Payment Model Final Rule Fact Sheet
This document summarizes the Comprehensive Care for Joint Replacement (CCJR) model final rule released by CMS in the November 24, 2015, Federal Register.
Summary of CMMI Accountable Health Communities Model
This document provides information on the Center for Medicare & Medicaid Innovation's (CMMI's) three-track Accountable Health Communities Model designed to test whether or not integrating social supports into the delivery system will have a positive impact on health outcomes and expenditures.
Negotiating Tips for ACO Contracting
Successful payer negotiations to launch commercial ACOs will depend on careful preparation and understanding of hospitals’ capabilities, says George Wojtal.
Ask the Experts: Non-Contracted Insurer Payment Rates
How can providers respond when non-contracted insurers offer payments limited to some share of Medicare payments for a given service?
HFMA Comments on the CMS Discharge Planning Proposed Rule
HFMA comments on the CMS proposed rule on Medicare and Medicaid Programs: Revisions to Requirements for Discharge Planning for Hospitals, Critical Access Hospitals, and Home Health Agencies.