Payment Reimbursement and Managed Care

Risk-based contracting in the time of coronavirus

The APM target prices/benchmarks are among the many policy issues beyond paying for surge capacity that CMS, commercial health plans and providers will need to work through in the wake of the coronavirus outbreak.

By Chad Mulvany, FHFMA April 1, 2020

State legislators roll back Indiana hospital bill that could have cut payments to hospitals

Health plans seeking state legislative help with site-neutral payments will likely find allies among employers who are increasingly frustrated with healthcare costs.

By Chad Mulvany, FHFMA March 10, 2020

How long will employers continue to tolerate healthcare cost growth in excess of inflation?

Employer frustration with high healthcare costs is translating into support for more aggressive governmental intervention in healthcare markets.

By Chad Mulvany, FHFMA March 6, 2020

Health plan-owned PCP clinics steer members to lower-cost sites-of-service

Hospitals and health systems need to be able to deliver high-quality outcomes in a cost-efficient manner to ensure they are not implicitly tiered out of a health plan's network.

By Chad Mulvany, FHFMA March 5, 2020

What to expect from Medicaid block grant waivers

HFMA's Chad Mulvany says the macro design choice that matters to most to providers in any state that adopts the block grant program will be whether the state chooses the true block grant financing option, or if it selects a per capita cap based on the prior year’s enrollment.

By Chad Mulvany, FHFMA February 10, 2020

The yin-yang of Medicaid: Expected federal regulations will increase number of uninsured despite increase in states taking expansion dollars

Despite more states considering taking Medicaid expansion dollars, federal regulatory efforts may drive an acceleration in the number of uninsured.

By Chad Mulvany, FHFMA January 23, 2020

Limited BPCI savings seen with joint replacement bundles

CMS’s new BPCI-A model incorporates patient complexity into the risk-adjustment mechanism, but it remains to be seen if it will solve all issues with the previous model.

By Chad Mulvany, FHFMA January 15, 2020

Analysis: Aspire Health Founder Brad Smith chosen as new CMMI director

The change in CMMI leadership could mean long-anticipated models are released, and may signal more emphasis on palliative care in future models based on Brad Smith’s background.

By Chad Mulvany, FHFMA January 14, 2020

Atrius Health: Experience with global-risk contracts paves way to success in new arrangement

Previous success in risk-based contracts will allow Atrius Health to thrive in its new global-risk arrangement with Blue Cross Blue Shield of Massachusetts, two of the provider’s leaders write.

By Patrick Holland January 13, 2020

Analysis: FY20 appropriations bills passed – lessons for potential future healthcare legislation

A review of the FY20 appropriations package to fund the federal government and a couple of ideas on lessons that might be applied to future efforts to expand coverage.

By Chad Mulvany, FHFMA December 30, 2019
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