FY16 IPPS Proposed Rule Fact Sheet
The fact sheet provides a summary of CMS's proposed rule updating payment rates for FY16 under the Medicare IPPS for operating and capital-related costs of acute care hospitals.
HFMA Comments on CMS Bundled Payments for Care Improvement (BPCI) Initiative
HFMA proactively comments on issues related to CMS’s BPCI initiative to provide recommendations to address design issues with the episodes and other operational and administrative barriers.
HFMA Executive Survey: Value-Based Payment Readiness
HFMA Executive Survey: Value-Based Payment Readiness explores ways hospitals are readying their value-driving capabilities and determining ROI of efforts in an environment where incentives increasingly are focused on improving quality and reducing costs of care delivery for patient populations.
Summary of H.R. 2: The Medicare Access and CHIP Reauthorization Act of 2015
This document summarizes key provisions of the The Medicare Access and CHIP Reauthorization Act of 2015 pertaining to the sustainable growth rate formula and other health-related topics.
HFMA Comments on Medicare Short Stay Payment Policy
HFMA comments on issues related to Medicare’s current payment policy for short stays, the Recovery Audit Contractor (RAC) program, and the impact of both on Medicare beneficiaries.
HFMA Comments on Hospital Improvements for Payment Act of 2014 Discussion Draft
HFMA comments to the U.S. House Committee on Ways and Means on the challenges of the Medicare Recovery Audit Contractor program and other policies that have had negative unintended consequences.
Improving Price Transparency
Access HFMA resources for improving price transparency.
CY15 Medicare Physician Fee Schedule Final Rule Fact Sheet
This document highlights important payment updates to physicians under the CY15 Medicare Physician Fee Schedule (PFS) final rule.
NY Rural Providers Turn Medical Homes into an ACO
What makes this medical home project different from many others around the country is that it is an all-payer pilot. After lengthy negotiations between providers and payers, the health plans agreed to pay the medical homes $7 per member per month to care for some 100,000 patients during the first year.
HFMA Comments on the Proposed Rule on the Medicare Shared Savings Program
HFMA commended CMS for its efforts to modify the Medicare Shared Savings Program (MSSP) to ensure its sustainability. However, HFMA had specific recommendations for improvement.