Intermountain Healthcare to provide hospital-at-home services for some higher-acuity patients
The move to hospital at home for higher-acuity patients by some health systems can create savings for their Medicare Advantage and other full risk products and for its Administrative Services Only clients.
Where are Medicare value-based payment models headed after COVID-19?
The pandemic-driven changes in policies, payment and patient attitudes could change participation in and provider approaches to value-based payment models, say advisers.
Optum’s naviHealth acquisition will help lower the total cost of care for UHC members and Optum physician practice patients
Optum's naviHealth purchase rounds out is capabilities, ensuring its UHC members — particularly MA members and Optum's practices' patients — receive the right care in the right setting at the right time post hospitalization.
CMS acts to limit losses for participants in value-based payment programs during COVID-19
CMS offered numerous ways that providers in value-based payment models can reduce their financial risk during the COVID-19 pandemic.
Study: Medicare Advantage enrollees less likely than traditional Medicare enrollees to use both institutional post-acute care and home health care
HFMA's Chad Mulvany says where there is competition for PAC discharges, providers should partner with high-quality PAC providers.
Building a healthcare finance center of excellence: a view from the C-suite
Finance centers of excellence are not necessarily physical locations but rather a collection of the right people, tools and practices to help organizations achieve better financial performance.
New rule aims to sustain Medicare ACOs in wake of COVID-19
A new Medicare rule aims to ease the financial challenges COVID-19 has created for accountable care organizations.
CMS’s second COVID-19 interim final rule further relaxes Medicare regulations
HFMA's Chad Mulvany provides details on key provisions of CMS's second COVID-19 interim final rule.
Mandatory bundled payment program for joint replacement makes changes to accommodate hospitals during COVID-19
Medicare’s largest mandatory bundled payment program is striving to adapt to the unique challenges the coronavirus has created for its hospital participants.
Increased Medicare payments for COVID-19 care to stretch back to late January
Medicare will pay add-on bonuses for hospitals' patients treated with COVID-19 as far back as late January, says CMS.