Reimbursement

CMMI chief: Administration’s value push will continue if ACA struck down

The senior government official in charge of creating value-based payment models said the Trump administration’s commitment to such models would continue even if the law authorizing his office is struck down in an ongoing court challenge.

By Rich Daly July 8, 2019

8 KPIs for measuring Medicaid eligibility and advocacy

A regular KPI review process will allow revenue cycle leaders to identify problems and develop a plan for remediation.

By Marie Hinds July 7, 2019

How hospitals saved $1,000 per case in a mandatory bundle

Several hospital approaches were key to obtaining savings of nearly $1,000 per episode in Medicare’s first mandatory bundled payment model.

By Rich Daly July 3, 2019

July 1-5: See what events are coming in healthcare

Stay ahead of healthcare news and developments with this listing of hearings, conferences, webinars, public forums and deadlines for the week of July 1.

By Rich Daly July 2, 2019

Pursuing a Proactive Denials Strategy Helps Resolve Denials and Prevent Recurrence

A look at how one company is partnering with healthcare organizations to use data and technology to address the root causes of long-standing problems, including denials.

By HFMA July 1, 2019

What the numbers from PAC-improvement efforts show

Efforts to reduce spending on post-acute care have been shown to reduce variation in Medicare spending overall, while also reducing hospital readmissions.

By Chad Mulvany, FHFMA June 30, 2019

Primary Care First Model holds promise but faces challenges

CMS's Primary Care First Model aims to create incentives for primary care physicians to take on risk under value-based payment, but whether it will be successful remains to be seen.

By Gail R Wilensky, PhD June 30, 2019

Where the future in healthcare already exists

Providers may be able to learn from providers and health plans already implementing many of the innovations that leaders say are needed to lower costs and improve care.

By Rich Daly June 28, 2019

Hospital executives urge colleagues to comment on upcoming transparency rules

Hospital and health leaders were urged by their colleagues to watch for and comment on coming rules implementing this week’s White House executive order on price transparency.

By Rich Daly June 28, 2019

Papaya wins HFMA Virtual Pitch contest

HFMA Annual Conference attendees voted Papaya the winner of the Virtual Pitch contest.

By Rich Daly June 26, 2019
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