Mixed News in Physician Payment Final Rule
Nov. 2—Leading physician advocacy groups are celebrating some provisions in the final rule issued by Medicare this week. But other components could cause problems.
Physicians Want APM Changes to Slow—Contrary to Administration’s Plans
Oct. 30—Physicians across the country are concerned about rapid changes in alternative payment models (APMs) and want the process to slow down, according to a recent study. Meanwhile, Trump administration officials say physicians should prepare for accelerated changes.
Comprehensive Compliance-Focused Processes for Physician Arrangements
Karin Chernoff Kaplan reviews the basics—and the importance—of establishing consistent processes for setting up and managing physician compensation agreements and thresholds that avoid regulatory problems.
Medicare Quality Pay Leads Practice Regulatory Burden
Oct. 2—Although insurance prior authorization and electronic health record (EHR) interoperability have garnered extensive attention as challenges for medical practices, a new survey fingers Medicare quality payment programs as the biggest hindrance.
CY2019 Medicare Physician Fee Schedule Proposed Rule
This document summarizes updates contained in the CY2019 Medicare Physician Fee Schedule proposed rule, published by CMS.
PTAC Recommends New Models Amid HHS Promises
Sept. 10—Amid Medicare promises to soon introduce new physician-focused payment models, its leading advisory panel recently approved new models for consideration.
HFMA Comments on the CY 2019 Physician Fee Schedule Proposed Rule
HFMA submits comments to CMS on the CY 2019 Medicare Physician Fee Schedule Proposed Rule, published in the July 27, 2018, Federal Register.
Understanding Pricing Trends in a Changing Environment
Pricing data can help providers make more informed strategic decisions and build better relationships with their patients.
Should Physician-Led Models Get Value-Based Payment Privileges?
Joe Damore and Shawn Griffin describe the potential issues of granting special privileges to physician-led alternative payment models.
Health System-Owned Physician Practices: Are Any Losses Acceptable?
Health systems that own physician practices should fully address losses those practices incur and take steps to remediate the issues underlying those losses.