Physician Payment and Reimbursement

Strategies to Measure Performance and Enhance Quality Under MIPS

Access to flexible, robust tracking tools that produce a range of actionable data are proving crucial for physicians participating in the primary track of MACRA.

Elizabeth Barker January 23, 2018

CMS Quality Payment Program CY18 Final Rule Summary

This document summarizes the CY18 Quality Payment Program (QPP) final rule.

HFMA December 6, 2017

CMS 2018 PFS Final Rule Summary

This document provides a detailed summary of the CY18 Physician Fee Schedule (PFS) final rule, published by CMS.

HFMA December 1, 2017

Executive Summary: CMS Quality Payment Program 2018 Final Rule

This document briefly summarizes key financial and operational impacts from the 2018 Quality Payment Program (QPP) final rule, published by CMS.

HFMA November 16, 2017

Executive Summary: CMS 2018 PFS Final Rule

This document highlights key financial and operational impacts from the CY18 PFS final rule, published by CMS.

HFMA November 10, 2017

Early Physician Involvement Vital in Advanced Care Delivery Models

When a healthcare organization plans to implement an advanced care delivery model, early physician involvement is key because of the role that physicians play in many parts of the operation.

Ed Avis November 6, 2017

Of Noise and Signal: Why Bundled Payment Keeps Moving Forward

CMS has not moved decisively in developing bundled-payment, episode-of-care payment models, leaving states and health plans to lead the way with innovative approaches.

Douglas W. Emery, MS November 2, 2017

Calling Into Question the Nation’s Commitment to Value-Based Health Care

There is widespread agreement that the goal of transitioning the nation’s healthcare system to value-based payment is important, but there remain many impediments to accomplishing such a transition.

Gail R Wilensky, PhD October 27, 2017

Understanding the Problem of Claim Processing Waste

Even small improvements in connectivity and transparency could save a few dollars per healthcare claim, which adds up very quickly.

Erin Murphy October 16, 2017

Is Focus of Value Based Care Moving From Hospitals to Physicians

Recent changes to bundled payment models are the among the developments that suggest the Trump administration may be seeking to shift the focus of value-based care from hospitals to physicians.

Rich Daly September 20, 2017
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