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.
Negotiating Tips for ACO Contracting
Successful payer negotiations to launch commercial ACOs will depend on careful preparation and understanding of hospitals’ capabilities, says George Wojtal.
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?
HFMA Comments on the CMS Discharge Planning Proposed Rule
HFMA comments on the CMS proposed rule on Medicare and Medicaid Programs: Revisions to Requirements for Discharge Planning for Hospitals, Critical Access Hospitals, and Home Health Agencies.
CY16 OPPS Final Rule Fact Sheet
This fact sheet highlights 2016 payment rate updates to outpatient hospitals and ambulatory surgical centers under the Medicare Outpatient Prospective Payment System (OPPS).
HFMA Comprehensive Care for Joint Replacement Final Rule Executive Summary
This Executive Summary provides the top 10 issues providers need to understand from the Comprehensive Care for Joint Replacement (CJR) final rule, published in the November 24, 2015, Federal Register.
HFMA’s Regulatory Sound Bites: An Overview of the Final 2016 Inpatient Prospective Payment System Rule
This presentation provides a summary of 2016 inpatient prospective payment system updates that affect inpatient acute care hospitals.