Time to Reassess: Keeping Up with Changes to CJR Target Pricing
Performance improvement targets have shifted again in the Comprehensive Care for Joint Replacement (CJR) program. Darcie Hurteau explains why participants should reassess their program strategies in light of this change.
HFMA Comments on the CY 2019 OPPS/ASC Propsed Rule
HFMA submits comments to CMS on the CY 2019 hospital OPPS/ASC proposed rule, published in the July 31, 2018, Federal Register.
Forum Networking Webinar: Developing Rational Health Service Prices – Key Takeaways
During this Forum-exclusive networking webinar, attendees participated in an interactive discussion about approaches for setting hospital prices, as well as ways to reduce patient charges.
Forum Networking Webinar: Developing Rational Health Service Prices
During this Forum-exclusive networking webinar, attendees participated in an interactive discussion about approaches for setting hospital prices, as well as ways to reduce patient charges.
CY2019 Medicare Physician Fee Schedule Proposed Rule
This document summarizes updates contained in the CY2019 Medicare Physician Fee Schedule proposed rule, published by CMS.
Sept 30-Oct. 5: ACA Premiums to Decline for First Time
Sept. 27—Final premium rates for the Affordable Care Act (ACA) marketplaces are expected to keep rolling in next week, even as the Trump administration is anticipating a historic first.
Rural Hospitals Push Congress to Address Key Financial Issue
Sept. 26—Amid rising concern in Congress over rural hospital failures, some stakeholders are renewing their push for a long-sought Medicare payment change that was described during a recent hearing as “one of the single most important” financial fixes for those organizations.
Bundled Episode “No-Go” Zone
Providers that are considering participating in bundled payment arrangements should first perform a preliminary review of factors that can have a bearing on their readiness for such arrangements.
The Trump Administration’s Proposed Reorganization of the Federal Government: Implications for Health Care
President Trump is proposing significant reforms to government structure that may improve administrative efficiency but may at the same time gut what is left of the nation’s safety net.
Target Setting: A Case Example with Risk Adjustment
By considering risk as they set financial targets for physician groups under value-based payment contracts, provider organizations can more accurately assess the likelihood that physician groups might have favorable performance under the contracts.