Value Based Payment

Why closer collaboration between healthcare providers and health plans is crucial, and where it could pay off the most

New types of provider-payer associations place an emphasis on increasing the value of healthcare rather than merely offering cost savings.

Nick Hut June 4, 2021

New research suggests there’s no need to worry that patient experience surveys lead to low-value healthcare

Findings from a new study may assuage concerns that low-value care is encouraged through the use of patient experience ratings in payment formulas.

Nick Hut June 1, 2021

Looming changes to quality reporting in the Medicare Shared Savings Program draw strong pushback from healthcare providers

Healthcare provider organizations are petitioning the Biden administration to slow recently finalized quality-related changes to the Medicare Shared Savings Program.

Nick Hut May 18, 2021

6 takeaways from HFMA’s Cost Effectiveness of Health Summit: Why health spending must become more cost-effective

HFMA’s first Cost Effectiveness of Health Summit drove home the urgency of improving how healthcare dollars are spent.

Nick Hut May 13, 2021

Healthcare News of Note: Hospital employment continues to decline despite an increase in jobs for the healthcare sector

A continuing drop in hospital job numbers, President Biden’s plans for the ACA and how COVID-19 affected stroke care during the pandemic are all topics covered in this week’s Healthcare News of Note.

Deborah Filipek May 7, 2021

CMS is curtailing voluntary participation in the Comprehensive Care for Joint Replacement bundled payment model

Hospitals that participated in the Comprehensive Care for Joint Replacement model on a voluntary basis over the last three years will be excluded after Sept. 30.

Nick Hut May 3, 2021

In a win for hospitals, CMS removes a rate-reporting requirement from the Medicare FY22 Inpatient Prospective Payment System

An FY22 requirement for hospitals to disclose privately negotiated MA rates on their Medicare cost reports has been rescinded in the proposed rule for the Inpatient Prospective Payment System.

Nick Hut April 29, 2021

Why the federal agency that oversees healthcare payment innovation is rethinking its approach

The director of the Center for Medicare & Medicaid Innovation is conducting a “strategic refresh” of the agency to consider how the healthcare industry’s transition to value can be improved.

Nick Hut April 25, 2021

CMMI announces Direct Contracting participants but cancels second round of applications

The Center for Medicare & Medicaid Innovation announced the 53 entities that have been accepted as participants in the new Global and Professional Direct Contracting model.

Nick Hut April 9, 2021

Financial Analytics Leadership Council members share 5 challenges, responses to pandemic’s financial long haul

Financial leaders discuss how the pandemic has impacted revenue, volume and expenses, which has thus created a need for data and analytics.

HFMA March 31, 2021
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