Payment Reform
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There are health reform provisions that change reimbursement structures and shift financial risk to providers. This section contains information and resources.

Value-Based Purchasing

Billing, Financial Assistance and Collection Practices - Template

340B Program

HRSA's 340B Prime Vendor Program from National Rural Health Association - PowerPoint Presentation

HRSA's 340B Pharmacy Services Support Center Federal Update from National Rural Health Association - PowerPoint Presentation

HRSA's Office of Pharmacy Affairs 340B Drug Pricing Program from National Rural Health Association - PowerPoint Presentation

Getting Started in the 340B Program: Safety Net Hospitals from National Rural Health Association - PowerPoint Presentation

340B for Newly Eligible Rural Hospitals from National Rural Health Association - PowerPoint Presentation

Health Care Reform Briefing Paper

"Risk Adjustment: Health Calculus for the Reform Environment" from Milliman, Inc. Risk adjustment, a method for adjusting health care reform. To harness the true potential of such a powerful tool, critical stakeholders like government agencies, health plans, provider organizations and employer groups must understand how to properly select, implement and evaluate risk-adjustment models. Using the appropriate risk-adjustment methodologies in the correct context will contribute to more accurate health care pricing, more efficient utilization and improved quality of care.

Bundled Payment

Health Research and Educational Trust - Bundled Payments - This AHA Research Synthesis Report presents an overview of bundled payment, including evidence of its effects in the public and private sector, as well as questions that must be considered as the concept is carried forward by both policymakers and delivery organizations.

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For more information on this meeting, contact Tish Hollingsworth or Dee Lewis at (785) 233-7436.
The Recovery Audit Contractors have made short-stay inpatient admissions a major issue by challenging significant numbers of cases. Hospitals have, in turn, appealed many of these cases which have caused a significant backlog of cases at the appeals level.
For more information regarding this event, contact Michele Clark at mclark@khconline.org or (785) 235-0763.
The Kansas Hospital Association in cooperation with the Wisconsin Hospital Association is a hosting a four-part webinar series to help hospitals prepare. Hospital coders, coding supervisors and managers, and internal ICD-10 team leaders and members are encouraged to participate in this series as a team.
Join the Kansas Healthcare Communicators Society on Oct. 29, 2014 for their fall education conference. Download the brochure today for more information. Contact Jan Fenwick at (785) 233-7436 or jfenwick@kha-net.org for more info.