Executive Summary: CMS 2018 PFS Final Rule
This document highlights key financial and operational impacts from the CY18 PFS final rule, published by CMS.
Early Physician Involvement Vital in Advanced Care Delivery Models
When a healthcare organization plans to implement an advanced care delivery model, early physician involvement is key because of the role that physicians play in many parts of the operation.
Of Noise and Signal: Why Bundled Payment Keeps Moving Forward
CMS has not moved decisively in developing bundled-payment, episode-of-care payment models, leaving states and health plans to lead the way with innovative approaches.
Calling Into Question the Nation’s Commitment to Value-Based Health Care
There is widespread agreement that the goal of transitioning the nation’s healthcare system to value-based payment is important, but there remain many impediments to accomplishing such a transition.
Understanding the Problem of Claim Processing Waste
Even small improvements in connectivity and transparency could save a few dollars per healthcare claim, which adds up very quickly.
Is Focus of Value Based Care Moving From Hospitals to Physicians
Recent changes to bundled payment models are the among the developments that suggest the Trump administration may be seeking to shift the focus of value-based care from hospitals to physicians.
HFMA Comments on CY18 Physician Fee Schedule Proposed Rule
HFMA commented on CMS’s CY 2018 Physician Fee Schedule proposed rule.
HFMA Comments on the CY18 Updates to the Quality Payment Program Proposed Rule
HFMA submitted comments to CMS on the CY 2018 Quality Payment Program proposed rule.
Contracting With Physicians to Tackle Pervasive Challenges
Hospital efficiency improvement programs allow organizations to address quality and efficiency goals across service lines by providing all inpatient-focused specialties with financial rewards if they achieve specific outcomes.
Catching Up on Your MIPS Strategy
A MIPS implementation plan involves creating a team, choosing metrics and a reporting mechanism, and looking at the new Medicare Part B payment model as part of your broader payer strategy.