Reimbursement

ACO Overhaul Issued Amid Looming Regulations

Dec. 21—An overhaul of Medicare’s accountable care organization (ACO) program, issued today, is among several far-reaching federal regulations that hospital leaders and advocates have been anxiously awaiting, all of which could be released within the next week. 

By Rich Daly December 20, 2018

CY 2019 MPFS Final Rule Executive Summary Presentation

This presentation briefly summarizes the CY 2019 updates to payments and other programs contained in the MPFS final rule, published by CMS.

By HFMA December 20, 2018

Hospitals Issue Warnings on ACA Repeal Ruling

Dec. 17—Hospital advocates raised a range of concerns about the expected impacts of striking down the Affordable Care Act (ACA) after a federal judge’s recent decision that the law was invalid.

By Rich Daly December 18, 2018

Dec. 17-21: Report Highlights Savings of Existing Medicare ACOs

Dec. 13—As the Trump administration considers a controversial overhaul of Medicare’s accountable care organization (ACO) program, a new report says the existing model has provided much more savings than previously found.

By Rich Daly December 14, 2018

CY 2019 OPPS/ASC Final Rule: HFMA Executive Summary Presentation

This presentation briefly summarizes the CY 2019 OPPS/ASC final rule, published by CMS.

By HFMA December 13, 2018

Medicare Enrollment Rate Will Peak in 2030

Medicare enrollment rate will increase by approximately 44 percent by 2030. After that time, the numbers will increase at much slower rates.

By HFMA December 10, 2018

Hospitals Sue over $380 Million OPPS Cut

Dec. 5—Several hospitals and advocacy groups filed suit this week to stop a finalized Medicare payment change that would cut 2019 outpatient payments by an estimated $380 million.

By Rich Daly December 6, 2018

The Blurring Boundaries of Elder Care: Implications for Providers and Patients

Healthcare providers are planning to invest in home health, palliative and end-of-life care, and geriatric caretakers in the coming years.

By Jim Watson December 5, 2018

CY 2019 Medicare Physician Fee Schedule Final Rule

This document briefly summarizes the payment rate updates under the CY 2019 Medicare Physician Fee Schedule final rule, published by CMS.

By HFMA December 4, 2018

Long-Delayed 340B Rule Takes Effect in January

Nov. 30—A highly anticipated rule to require better drug company compliance with a major discount drug program will go into effect Jan. 1—following multiple delays.

By Rich Daly December 4, 2018
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