CMS released its proposal for CY 2018 Hospital Outpatient Prospective Payment System (OPPS) payment rules, containing significant changes to reimbursement for hospitals participating in the 340B Drug Pricing Program.
The unsustainable trajectory of our healthcare delivery system requires that care delivery transformation be a top priority for today’s healthcare leaders. We have identified four key areas organizations should focus their efforts on and discuss how to successfully deploy a structured approach to the transformation process.
The first year of the CMS-mandated Comprehensive Care for Joint Replacement (CJR) model is over. In just a few weeks, CMS will release CJR files to the approximately 800 acute care hospitals included as CJR participants.
Organizations subject to CJR can learn how to submit requests for reconsideration and get paid, with the help of our reconciliation roadmap infographic.
Every chance to close gaps in medically necessary care is an opportunity for providers to realize incremental revenues while doing what is right for their patients.
Provider organizations can utilize this checklistto assess program structure, organizational strategy, and capacity in order to evaluate participation in voluntary Medicaid ACO models.
Given the increasing demand for comprehensive and high quality primary care, healthcare organizations continue to explore ways to expand care team infrastructure to allow for improved capacity and collaboration. This article looks at how these teams can support financial and care management goals.
Provider-sponsored health plans are not for every organization. This article for HFMA offers a framework to help healthcare leaders assess their organization's readiness.
CMS identifies final rule and the 98 markets mandated to participate in a bundled payment program for cardiac care, as well as surgical hip and femur fracture care.
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