Payment Reimbursement and Managed Care

Analysis: House Ways & Means Health Subcommittee advances its surprise-bill draft legislation

Although the House Energy and Commerce Health Subcommittee approved its surprise bill legislation last week, there are other factors at play in the coming weeks that could delay further action on it.

By Chad Mulvany, FHFMA August 2, 2019

Analysis: Deadline passes for NC state employee Medicare reference pricing contract

An overview of the North Carolina Clear Pricing Project, its contract deadline passing and how North Carolina’s hospitals have reacted to the CPP.

By Chad Mulvany, FHFMA August 2, 2019

Analysis: Results from Medicare’s mandatory joint replacement bundle

A discussion of the results of the Medicare Comprehensive Care for Joint Replacement program and three keys to implementing a successful PAC management program.

By Chad Mulvany, FHFMA August 2, 2019

Analysis: 6 strategies of successful ACOs revealed in OIG study

The six strategies used by successful accountable care organizations are discussed in a review of a study of successful ACOs, released by the Office of the Inspector General last week.

By Chad Mulvany, FHFMA August 1, 2019

The price of precision medicine: 3 ways for health plans to manage genetic-testing costs

With spending on genetic testing expected to grow significantly, health plans can use three steps to get a handle on costs.

By Emad Rizk, MD August 1, 2019

Top 5 episode-analytics questions answered

As healthcare providers continue to move toward value-based care models, data and analytics will continue to play an important role. In 2017 alone, U.S. hospitals cared for over 36.5 million admissions. As this number continues to grow, providers will need to understand their patients not only as they pass through their own care journey, but…

By Jenn Adam July 30, 2019

2 states take the lead in implementing innovative healthcare reforms

Washington and Colorado are seeking to funnel noteworthy innovations in healthcare reform, including a public option, through their Medicaid infrastructures.

By Pam Nicholson, MBA July 25, 2019

Analysis: New mandatory radiation therapy payment model

Details about the new five-year mandatory radiation therapy model released by CMS the week of July 8 are reviewed.

By Chad Mulvany, FHFMA July 18, 2019

Analysis: Administration’s plans on drug pricing faced recent multiple setbacks

In the face of recent, multiple setbacks on the Trump administration’s proposals for drug pricing, the administration could move aggressively forward on its anticipated International Pricing Index Model for Part B drugs proposal.

By HFMA July 16, 2019

Analysis: Survey results show health systems prepared to take risk

Results of a recent HFMA/Navigant survey show providers are prepared to increase their level of payment risk. HFMA’s Chad Mulvany provides insight on what these results indicate.

By Chad Mulvany, FHFMA July 15, 2019
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