Value Based Payment

California v. Texas: What’s next?

HFMA's Chad Mulvany says we won’t know the outcome of the case until sometime in the first half of next year.

By Chad Mulvany, FHFMA November 10, 2020

Physicians score well in Quality Payment Program but receive little for it

HFMA's Chad Mulvany says the Merit-based Incentive Payment System (MIPS) program needs to be simplified to allow all providers to participate without it being overly burdensome.

By Chad Mulvany, FHFMA November 5, 2020

6 common ground healthcare issues that may help in overcoming discord

In the nation's current political climate and the prevailing partisan divide, healthcare is home to six issues where there is political common ground that could lead to bipartisan solutions.

By Ken Perez October 29, 2020

Ripple effects of the pandemic on the move toward value

In this HFMA executive roundtable, seven executives for health systems and health plans share how the pandemic has impacted their organization’s move toward value — and what it will take to foster transparency and trust under these models.

By HFMA October 27, 2020

Why effective maternity care requires an innovative, value-based strategy

An episode-of-care approach may be the best way to address cost variation in maternal care and promote partnerships across the healthcare continuum.

By Tessa Kerby, MBA, MPHE October 22, 2020

Medicare readmissions reduction program penalizes hospitals inaccurately, study finds

The hospital readmissions reduction program incorrectly penalizes hundreds of hospitals, according to new research.

By Rich Daly October 22, 2020

Changes coming to bundled payments and Direct Contracting, CMMI chief says

Coming changes will affect both Medicare bundled payment programs and the looming Direct Contracting program, said the director of the Center for Medicare and Medicaid Innovation.

By Rich Daly October 19, 2020

How to apply a value equation in setting compensation for specialty providers

An effective value-based compensation system for surgical specialists should not only account for the physician’s service, quality of care and financial performance, but also the extent to which the physician exhibits high standards of citizenship.

By John Rezen, CRCR, MHA, LSSBB October 15, 2020

CMS to add COVID-19-related waivers to value-based payment models, Verma says

Medicare plans to add pandemic-era waivers to its value-based payment models as a way to incentivize provider participation.

By Rich Daly October 14, 2020

340B cuts, inpatient-only elimination lead hospitals’ OPPS concerns

Proposed OPPS cuts for 340B hospitals and outpatient payment changes drew the most concerns from hospitals and advocates.

By Rich Daly October 13, 2020
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