Physician Payment and Reimbursement

Why Direct Primary Care Works for Me

Primary care physician Jeffrey Gold, MD, describes why direct primary care is rewarding for him and his patients.

Jeffrey Gold June 2, 2017

Q&A: Exploring the Nuances of MACRA

Physician practices and other healthcare organizations should be aware of various nuances that will affect their performance in both the MIPS and advanced APM tracks of MACRA.

Nick Hut May 18, 2017

Health Systems Brace for MACRA

Hospitals and health systems are working to help their physicians succeed under MACRA, which means moving quickly to advanced APMs.

Rich Daly May 11, 2017

Four Strategies to Maximize Adult Immunization Quality and Financial Benefits

Jill Powelson describes how healthcare organizations can maximize revenue opportunities for immunizations.

Jill Powelson March 10, 2017

Sidebar: Small Physician Practices and the Merit-based Incentive Payment System (MIPS)

An example of financial modeling for a small physician practice is provided to illustrate possible effects of MACRA’s Merit-Based Payment System on such a practice.

John Harris, MBA January 9, 2017

Analyzing Where to Invest for Success Under MACRA’s New Quality Payment Program

Financial modeling can help providers determine their best option among payment models available through CMS’s new Quality Payment Program.

John Harris, MBA January 9, 2017

MACRA Timeline: MIPS and Advanced APM Reporting Requirements for Payment Year 2019

This useful tool displays a MACRA final rule timeline of Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Model (Advanced APM) reporting requirements for payment year 2019.

HFMA January 9, 2017

MIPS Implementation: What Healthcare Stakeholders Need to Know

Healthcare policy expert Billy Wynne analyzes what providers need to know heading into implementation of the Merit-based Incentive Payment System (MIPS) component of MACRA.

Lisa Zamosky December 19, 2016

CY17 Medicare Physician Fee Schedule Final Rule Summary

This document provides a summary of important CY17 Medicare Physician Fee Schedule updates.

HFMA November 29, 2016

Executive Summary: CMS 2017 PFS Final Rule

This document provides the key financial and operational impacts from the 2017 PFS final rule, published in the November 15, 2016, Federal Register.

HFMA November 18, 2016
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