Payment Models

Rand releases updated study of hospital payment variation in commercial market

HFMA's Chad Mulvany says it’s imperative that everyone in the U.S. supports safety-net hospitals, or there will be an increase in the disparities in access to basic healthcare services between the haves and have-nots.

Chad Mulvany, FHFMA September 25, 2020

Increased ACA uncertainty at the U.S. Supreme Court upon death of RBG

HFMA's Chad Mulvany says given the Supreme Court’s historically narrow view on severability, many legal experts doubt the court, even with its new makeup, will overturn the entirety of the ACA.

Chad Mulvany, FHFMA September 24, 2020

CMMI announcement foreshadows more mandatory bundled payment models

HFMA's Chad Mulvany says based on recently announced changes to BPCI-A episodes, a mandatory model may be defined much broader than currently.

Chad Mulvany, FHFMA September 17, 2020

Business Group on Health’s Annual Survey: Large employers ready to take the reins on healthcare cost

Responses to the Business Group on Health's annual survey of its large employer members suggest employers are tired of waiting for providers and plans to figure out how to reduce healthcare cost.

Chad Mulvany, FHFMA September 11, 2020

Aetna rolls out a no-cost sharing primary care offering for members at CVS Minute Clinics and HealthHUBS

HFMA's Chad Mulvany says it’s not surprising that Aetna would use its Minute Clinics as the basis of a primary care network for lower-cost health plans.

Chad Mulvany, FHFMA September 11, 2020

Offering long-term payment plans to meet the financial needs of patients

A forward-thinking bank talks about its accessible patient finance program, which gives patients a way to afford care while ensuring timely payment for healthcare organizations.

HFMA August 31, 2020

Primary care providers are partnering with employers to form an optimal primary care delivery system

HFMA's Katie Gilfillan says the time may be right for a re-orientation of the healthcare system, where hospitals, physician groups and purchasers of care along with payment models are aligned to support a more patient-centric system.

Katie Gilfillan July 30, 2020

As the COVID-19 situation improves in Maryland, hospitals not immune to losses

Maryland hospitals suffered COVID-19 volume losses, but they say the state’s unique all-payer rate-setting system mitigated the situation to a degree.

Rich Daly July 23, 2020

Texas Oncology streamlines operations to achieve success in Medicare value-based payment model

The experience of Texas Oncology in CMS’s Oncology Care Model shows how provider organizations can use change management processes to lay the foundation for success in new care delivery models.

Elizabeth Barker June 22, 2020

Long-term fiscal impact of the of COVID-19 pandemic on the overall federal debt and Medicare Part A Trust Fund shortfall cannot be overlooked

Recommendations from healthcare economists for savings to preserve Part A Trust Fund focus more on taxes and less on providers.

Chad Mulvany, FHFMA June 19, 2020
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