Ask the Expert: Payers Linking Cancellations of Separate Contracts
How can providers respond when payers threaten to terminate a Medicare Advantage contract if the provider terminates their separate commercial contract?
HFMA Comments on CMS’s Proposed Changes to the Medicare Shared Savings Program
HFMA submitted a comment letter to CMS on the proposed changes to the Medicare Shared Savings Program (MSSP) benchmarking and trending methodologies published in the February 3, 2016, Federal Register.
Medicare Overpayments Final Rule Fact Sheet
This fact sheet summarizes the final rule published by CMS requiring providers and suppliers receiving funds under the Medicare program to report and return overpayments.
Medicare Program; Part B Drug Payment Model Summary of Proposed Rule
This document summarizes the important details of CMS's proposal to test a new payment model called the Part B Drug Payment Model.
Medicare Shared Savings Program Proposed Benchmarking Rule Summary
This document highlights the important changes that would be made to the benchmarking rebasing methodology used in the Medicare Shared Savings Program (MSSP), among other changes.
Executive Summary – Proposed MSSP “Benchmarking” Rule
The Centers for Medicare & Medicaid Services (CMS) released proposed changes to the Medicare Shared Savings Program (MSSP) benchmark rebasing methodology. The rule also includes several other significant changes that impact risk.
HFMA Comments on Medicare Program IPPS 0.2 Percent Reduction
HFMA comments on the assumptions CMS used to justify cutting payments to hospitals under the IPPS by .2% as outlined in Medicare Program: Inpatient Prospective Payment Systems; 0.2 Percent Reduction.
Comprehensive Care for Joint Replacement Payment Model Final Rule Fact Sheet
This document summarizes the Comprehensive Care for Joint Replacement (CCJR) model final rule released by CMS in the November 24, 2015, Federal Register.
Summary of CMMI Accountable Health Communities Model
This document provides information on the Center for Medicare & Medicaid Innovation's (CMMI's) three-track Accountable Health Communities Model designed to test whether or not integrating social supports into the delivery system will have a positive impact on health outcomes and expenditures.
Ask the Experts: Non-Contracted Insurer Payment Rates
How can providers respond when non-contracted insurers offer payments limited to some share of Medicare payments for a given service?