340B Program success depends on the quality of self-auditing
Healthcare organizations participating in the 340B Drug Pricing Program should self-audit of their compliance with the program to ensure its ongoing success and effectiveness.
The healthcare value imperative: All eyes on North Carolina’s move to value-based payment
Hospitals and health systems nationwide can benefit from the insights of North Carolina health system executive whose organizations are leading the way in the state’s transition to value-based payment.
Medicare Advantage concepts come to Medicare fee-for-service with Geographic Direct Contracting Model
While the MA Stars Rating program is a bonus program where plans can earn additional revenue for achieving high scores, quality in the Geographic Direct Contracting program is treated more like a penalty, says HFMA's Chad Mulvany.
Financial Sustainability Report: November 2020
The November 2020 Financial Sustainability Report, sponsored by Kaufman Hall, explores the long-term implications for hospitals and health systems of the deferral of elective procedures at the start of the COVID-19 pandemic, and it provides insights into healthcare organizations’ need for consumer-focused strategies. Other topics include 340B compliance and revenue cycle redesign after COVID-19.
Amid some resistance by healthcare workers, COVID-19 vaccine delivery continues to roll out
Amid the early rollout of COVID-19 vaccines, provider organizations are urging reluctant clinicians and other employees to take the inoculation.
Hospitals begin to receive first doses of COVID-19 vaccines
Hospitals and other providers that were prioritized in state COVID-19 vaccine distribution plans have begun to receive and administer their first doses.
CMS waiver for hospital-at-home designed to address COVID-19-driven capacity issues | HFMA
While it’s been rumored that the Center for Medicare & Medicaid Innovation was working on a hospital-at-home model, this is a short-term waiver designed to address COVID-19-driven capacity issues, said HFMA’s Chad Mulvany.
Patient visit restrictions bringing many new costs
Ongoing hospital visitor restrictions can have a range of adverse effects, potentially affecting clinical outcomes and increasing costs for health plans and providers in value-based payment models.
Connecticut’s launch of a bundled payment program for its employee health plan is part of an effort to save the state $185 million | HFMA
HFMA’s Chad Mulvany says some state governments, like Connecticut, have high enough volumes that COVID-19 may accelerate their adoption of value-based payment models.
CMS unveils the Geographic Direct Contracting model
The Geographic Direct Contracting model will test full-risk arrangements for healthcare entities serving thousands of Medicare beneficiaries within defined geographic areas.