Value Based Payment

Cost Effectiveness of Health Report, November 2021

The November HFMA’s Cost Effectiveness of Health Report, sponsored by Kaufman Hall, features stories that explore the growing trend toward delivery of healthcare at home, as reflected in CMS’s Acute Hospital Care at Home waiver and a unique senior-care-at-home approach in Southern California that has national implications. The report also includes features that explore leading health systems’ innovative venture investing strategies and the need for more proactive approaches to addressing workforce challenges facing the industry.

HFMA November 24, 2021

Cost Effectiveness of Health Report, October 2021

The October HFMA’s Cost Effectiveness of Health Report, sponsored by Kaufman Hall, presents Part 2 HFMA’s of Healthcare 2030, which examines workforce challenges facing healthcare organizations and the types of response that will be required to meet those challenges. Also included is an interview with HFMA’s Todd Nelson, who explains why it is so important for all stakeholders in the United States to work collaboratively toward improving cost effectiveness of health in the United States.

HFMA November 24, 2021

CMS finalizes changes to the price transparency penalty, inpatient-only list and more for 2022

Medicare policies affecting price transparency, the inpatient-only list and more will take effect Jan. 1 after CMS published its 2022 final rule for hospital outpatient departments and ambulatory surgical centers.

Nick Hut November 7, 2021

Payment approaches to addressing health equity are seen in a new Medicare rule for kidney care

Updates to a Center for Medicare & Medicaid Innovation care model for end-stage renal disease include an equity-related bonus payment and associated changes to benchmarking.

Nick Hut October 31, 2021

The impact of COVID-19 further shows the need to modify federal pay-for-performance models, hospital advocate says

Quality measures derived during the COVID-19 pandemic are not an accurate gauge of hospital performance in federal programs such as Value-Based Purchasing.

Nick Hut October 29, 2021

Addressing U.S. healthcare system challenges requires a focus on improving health, not just care

If we are to effectively address the huge cost challenges facing the U.S. health system, we must begin to better address the cost effectiveness of health, says Todd Nelson, HFMA’s director of professional practice and partner relationships. And it has to be through a collaborative process involving all stakeholders, he says, including not just hospitals and health systems, physicians and health plans but also patients and their communities, as well as society overall.

Eric C. Reese, PhD October 22, 2021

Accountable care models will be almost universal for Medicare and Medicaid beneficiaries by 2030, CMS leaders say

A forthcoming revamp of federal value-based payment models will include features designed to encourage provider participation, CMS and CMMI leaders said.

Nick Hut October 21, 2021

Healthcare M&A activity for Q3 remains low in volume but high in impact, firms report

The number of M&A transactions involving hospitals and health systems remained at historically low levels, but the average revenue involved was far higher than in recent years.

Nick Hut October 11, 2021

Consumerism and the transition to value are among the trends drawing strategic reactions from healthcare providers, survey finds

A recent survey finds healthcare providers working to ensure their strategic planning incorporates key trends, spurring innovations in care delivery models.

Nick Hut October 8, 2021

The stakes are only growing in efforts to improve the cost effectiveness of health, CMMI’s Elizabeth Fowler says

The head of the Center for Medicare & Medicaid Innovation spoke with an HFMA audience about the importance of efforts at the federal level and beyond to improve the cost effectiveness of health.

Nick Hut October 6, 2021
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