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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

Aetna moving its HQ out of Connecticut, considering ‘several states’

Aetna confirmed it is in negotiations to move its corporate headquarters out of Hartford, Connecticut, which was been its home since it began as a fire insurance company in 1819.

CHS to sell 5 hospitals to Reading Health System

The selloff of Community Health System (CHS) hospitals is continuing, as the struggling hospital operator agreed to sell five Pennsylvania hospitals to the not-for-profit Reading Health System.

Steward would become largest for-profit hospital operator after IASIS merger

Boston-based Steward Health Care System would become the largest for-profit hospital operator in the U.S. if it wins regulatory approval for a $2 billion merger with Franklin, Tennessee-based IASIS Healthcare. 

HFMA ANI 2017 preview: ‘Healthcare finance has always been about change’

Policy uncertainty, changing reimbursement models and price transparency are just some of the topics expected to be discussed at the Healthcare Financial Management Association’s upcoming Annual National Institute, which runs from June 25 to 28 at the Orange County Convention Center in Orlando, Florida. 

UnitedHealth hit with another DOJ lawsuit over Medicare Advantage fraud

The U.S. Department of Justice (DOJ) is again involved in a lawsuit alleging UnitedHealth Group (UHG) received Medicare Advantage payments to which it wasn’t entitled.

HFMA announces 2017 revenue cycle awards

Seventeen healthcare organizations have been named winners of the 2017 MAP Award for High Performance in Revenue Cycle by the Healthcare Financial Management Association (HFMA).

Kaiser, Ascension see big gains in operating income

Financial reports for Kaiser Permanente and Ascension Health saw double-digit increases in operating income, with some of the gains credited to acquisitions both systems have made in the past year.

Anthem kills Cigna merger, promises to pursue damages

After losing in court for the third time over the $54 billion deal, Anthem has officially terminated its merger with Cigna, though the court battles involving the failed acquisition appear to be far from over.

Top 10 MACRA trends challenging providers

The need for new or upgraded software, provider consolidation and hiring consultants are some of top trends practices will need to contend with as they prepare for the new payment tracks in the Medicare Access and CHIP Reauthorization Act (MACRA).

Aetna completely out of ACA exchanges for 2018

Making good on promises made by its CEO earlier this year, Aetna confirmed it will not offer policies on the Affordable Care Act (ACA) exchanges in any market for 2018. 

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