Fact Sheet | Payment, Reimbursement, and Managed Care

This HFMA summary explains the CMS FY 2020 skilled nursing facility final rule.

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Fact Sheet | Payment, Reimbursement, and Managed Care

This HFMA Summary explains the CMS CY 2020 OPPS/ASC Proposed Rule.

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Tools & Tips | Payment, Reimbursement, and Managed Care

This HFMA Executive Summary presentation explains the CMS 2020 outpatient prospective payment system (OPPS) proposed rule.

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Blog | Payment Trends

Although it appears North Carolina is abandoning its efforts to implement Medicare reference-based pricing for state employees, it’s likely not the last time a large employer tries to use this cost-cutting measure.

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News | Medicare Payment and Reimbursement

CMS Administrator Seema Verma plans to address a gathering of health information data exchange advocates on Aug. 19.

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News | Health Plan Payment and Reimbursement

The share of covered workers enrolled in high-deductible health plans (HDHPs) at large employers reached 47% in 2019.

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Blog | Medicare Payment and Reimbursement

A review of why a couple of the key changes to the CMS FY2020 IPPS Rule may not bring the desired results.

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News | Medicare Payment and Reimbursement

A public-option health plan could lead to the closure of 1,000 rural hospitals, according to an analysis.

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News | Medicare Payment and Reimbursement

Stay ahead of healthcare news and developments with this listing of hearings, conferences, webinars, public forums and deadlines for the week of Aug. 12.

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News | Medicare Payment and Reimbursement

The Centers for Medicare & Medicaid Services (CMS) recently issued final rules with FY20 rates for skilled nursing facilities (SNFs), inpatient rehabilitation facilities (IRFs) and hospices.

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Blog | Medicare Payment and Reimbursement

A review of the potential margin impact on providers from the continued shift of high-volume, high-margin joint replacement procedures to the outpatient setting.

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News | Medicare Payment and Reimbursement

CMS issued a final rule for Medicare hospital IPPS payments in FY20.

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Fact Sheet | Bundled Payment

This HFMA summary explains the CMS proposed rule on two models that would provide specialty care to Medicare beneficiaries with cancer and end-stage renal disease.

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