You are here

Finance

 

If the 5 percent bonus payment in the Advanced Alternative Payment Model (APMs) track was available in 2015, accountable care organizations (ACOs) would’ve earned additional net payments of $886 million if they had assumed downside risk under the Medicare Shared Savings Program (MSSP).

Most doctors saw a similar increase in compensation last year as they had in 2015, with an average raise of 2.9 percent across all specialties reported in the American Medical Group Association’s (AMGA) annual medical group compensation and productivity survey. Productivity, however, remained flat, and the move to value-based incentives in compensation continues to be slower than anticipated.

CMS has released its proposed rules for the 2018 Physician Fee Schedule (PFS), Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System, with the biggest change being halving the Medicare reimbursement for off-campus services.

President Donald Trump had proposed a 16 percent cut across HHS in his budget blueprint for fiscal year 2018, but the Republican majority on the House Appropriations Committee added $14.5 billion over his request in its own budget proposal released on July 12.

Jason Considine, senior vice president of patient collections and engagement at Experian Health, argued at the Healthcare Financial Management Association (HFMA) conference in Orlando that providers should first rely on leveraging data and crafting flexible payment options before paying any contingency fees to collectors. He spoke with HealthExec about mistakes providers are making with their collection practices and what data they need to improve the process.

 

Recent Headlines

Q&A with TransUnion execs: Patients are the new payers

One of the most frequently discussed topics from the Healthcare Financial Management Association (HFMA) conference was the need to increase patient engagement when it comes to payment as out-of-pocket costs and deductibles continue to rise.

Billionaire doctor Patrick Soon-Shiong to take over 6 California hospitals

NantWorks, the company run by billionaire Patrick Soon-Shiong, MD, will take over operations at six California hospitals after acquiring controlling interest in Integrity Healthcare, the management company of Verity Health System.

Wasteful healthcare spending can’t be pinned on end-of-life care

Reducing medical spending in the last year of a patient’s life isn’t a panacea for limiting growth in overall healthcare costs, according to a study published in the July 2017 issue of Health Affairs.

Providers won’t be able to avoid downside risk much longer

Among hundreds of healthcare finance professionals at a Healthcare Financial Management Association (HFMA) conference presentation, no one could say their systems were taking on downside risk above 5 percent of their total revenue. Francois de Brantes, MS, MBA, vice president of director of the Altarum Institute’s Center for Payment Innovation, said that needs to change.

Aetna moving to New York from Connecticut

Aetna has confirmed its moving its corporate headquarters out of Hartford, Connecticut and into New York City, which offered a package of property and sales tax breaks worth nearly $34 million.

HFMA 2017: Hospital finance execs have ‘significant lack of knowledge’ around MACRA

Nearly halfway through the first year of Medicare Access and CHIP Reauthorization Act’s (MACRA) new payment tracks and hospital, a majority of hospital finance executives and professionals say understand the requirements of the new Quality Payment Program (QPP) but, in reality, still seem to be confused.

Epic to launch medical billing unit later in 2017

Electronic health record giant Epic is now expanding into medical billing space, according to a new job listing posted on its website.

HFMA 2017: 2 out of 3 patients don’t pay their hospitals bills in full

68 percent of patients with hospital bills under $500 didn’t pay off the full balance by the end of 2016, according a TransUnion Health study released at the Healthcare Financial Management Association (HFMA) conference in Orlando.

HFMA 2017: ACA repeal bills pose credit risk to hospitals

Whether Republicans’ version of an Affordable Care Act repeal-and-replace bill looks like the House-passed American Health Care Act (AHCA) or the Senate’s Better Care Reconciliation Act (BCRA), it would have a negative impact on the credit ratings of nonprofit hospitals, according to Fitch Ratings.

HFMA 2017: Affiliations, not acquisitions, may be path to value-based care

Transitioning to value-based care and taking on risk is often cited as one of the drivers of the consolidation trend throughout healthcare. Some systems, however, are beginning to look at partnerships more “holistically,” according to Kaufman Hall managing director Anu Singh, MBA, by pursuing creative affiliations to enhance their capabilities rather than a merger or acquisition.

Pages