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News
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Managed Care
Healthcare News of Note for healthcare finance professionals is a roundup of articles from the past week, including why payers are pushing back on the prior-authorization rule and information on HHS funding to support the nation's response ...
By Deborah Filipek
Blog
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Value-Based Payment
While the MA Stars Rating program is a bonus program where plans can earn additional revenue for achieving high scores, quality in the Geographic Direct Contracting program is treated more like a penalty, says HFMA's Chad Mulvany.
By Chad Mulvany, FHFMA
Trend
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Social Determinants of Health
In recent years, public health and not-for-profit organizations have focused on addressing social determinants of health (SDOH) and their impact on individuals’ wellness and ability to access healthcare services. Progress has been slow to d...
By Pam Nicholson, MBA, and Dudley Morris
News
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Managed Care
Healthcare News of Note for healthcare finance professionals is a roundup of articles from the past week, including why payers are pushing back on the prior-authorization rule and information on HHS funding to support the nation's response ...
By Deborah Filipek
News
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Value-Based Payment
The Geographic Direct Contracting model will test full-risk arrangements for healthcare entities serving thousands of Medicare beneficiaries within defined geographic areas.
By Rich Daly, HFMA Senior Writer and Editor
News
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Medicare Payment and Reimbursement
The final rule for the CY21 Medicare Outpatient Prospective Payment System will phase out the inpatient-only list but won’t implement steeper 340B cuts.
By Rich Daly, HFMA Senior Writer and Editor
Blog
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Value-Based Payment
While the MA Stars Rating program is a bonus program where plans can earn additional revenue for achieving high scores, quality in the Geographic Direct Contracting program is treated more like a penalty, says HFMA's Chad Mulvany.
By Chad Mulvany, FHFMA
Blog
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Payment Models
HFMA’s Chad Mulvany says some state governments, like Connecticut, have high enough volumes that COVID-19 may accelerate their adoption of value-based payment models.
By Chad Mulvany, FHFMA
Blog
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Healthcare Reform
HFMA's Chad Mulvany speculates on health policy priorities and changes in the next 24 months, assuming we continue to have a divided government and President-elect Biden's campaign survives President Trump's many legal challenges about stat...
By Chad Mulvany, FHFMA