Category Archives: Managed Care

Get Registered for Fall Educational Programs Today

By | October 24, 2018

Our chapter has a full schedule in November!  With two in-person programs and one webinar in before Thanksgiving, there’s something on the agenda for everyone. Capital Finance Seminar: Debt Management and Risk Management–From Basic to Complex November 1–Bank of America Merrill Lynch, 225 Franklin Street, Boston, MA 02110 Join us for an afternoon program highlighting debt finance and enterprise… Read More »

Introducing HFMA’s “Healthcare Delivery Transformation Committee!”

This fall two of the HFMA MA-RI Chapter’s Committees, the Enterprise Performance Management / Physician Practice Management Committee and the Managed Care Committee merged to form the newly founded “Healthcare Delivery Transformation Committee.”  The merger is a result of the changing healthcare delivery landscape; there are far more similarities than differences among the operational and financial concerns of managed… Read More »

New to Healthcare Seminar Registration Open

By | August 8, 2018

The Massachusetts-Rhode Island Chapter will be hosting its annual New to Healthcare Seminar on Friday, September 21, 2018 at Suffolk Law School.  Join us for a great day of healthcare finance basics from leaders in the industry.  The day’s topics include: Fundamentals of Healthcare Finance and Reporting (Erik Lynch, BDO USA LLP) Law, Compliance and Regulations (Timothy Hogan,… Read More »

CMS Focuses on a Modern Medicare in New Proposed Rules

Earlier this month, CMS proposed changes to the Medicare Physician Fee Schedule (the “PFS Proposed Rule“) and Quality Payment Program (the “QPP Proposed Rule“) with the goal of “modernizing Medicare and restoring the doctor-patient relationship.” The proposed changes achieve this goal by streamlining the billing process and reducing the amount of paperwork providers face, empowering providers to maximize use of electronic health record systems, and… Read More »

Value in Managing Chronically Ill Patients

By | July 18, 2018

The Center for Medicare and Medicaid Services (CMS) launched the Chronic Care Management (CCM) program in January 2015. The introduction of CPT code 99490 allowed provider led teams to remotely manage the health of their sickest patients. Medicare fee-for-service beneficiaries with two or more chronic conditions among the twenty seven outlined by CMS (source) may be enrolled, after… Read More »

Conference Recap – The Path to Value

By | June 6, 2018

Last Friday, the Managed Care Committee held their annual conference in Norwood, MA. This year’s conference theme, “The Path to Value,” was reflected throughout the day by speakers on a variety of topics.  The morning kicked off with a welcome message from our new Chapter President, Garrett Gillespie. Following the welcome, Alex Calcagno, Director of Federal and Community… Read More »