Cover Story
How the CEO of Mark Cuban Cost Plus Drug Co. aims to upend the PBM model
Alexander Oshmyansky, founder and CEO of Mark Cuban Cost Plus Drug Co., describes how his company hopes to present clear and lower drug prices to compete with the dominant pharmacy benefit managers and distributors.
Features
Enterprisewide physician advisor programs are key to improving costs and revenue cycle performance
Making sure physicians understand the financial implications of how they document their care is critical to a health system’s financial sustainability.
5 issues that are keeping healthcare compliance professionals up at night
Healthcare providers are confronting a wide range of compliance challenges, from ramped-up enforcement of some regulations to the introduction of new rules and requirements.
Columns
Aaron Crane: It’s time to Ignite the Spark for meaningful price transparency
HFMA National Chair Aaron Crane says now is the time for healthcare finance leaders to reevaluate their organization’s approach to price transparency from a consumer lens.
Susan Dentzer: Perspectives differ on Medicare’s 2 houses
A meaningful comparison of traditional Medicare and Medicare Advantage requires a fair and objective assessment of the structure of each approach.
Jill Geisler: Healthcare finance leaders should beware of blind spots and biases
HFMA contributor Jill Geisler shares ways healthcare finance leaders can avoid seven common leadership blind spots and biases.
Gail Wilensky: No Surprises Act — where things stand after 16 months
The 2020 No Surprises Act, enacted to ensure patients do not receive surprise medical bills, remains a work in progress.
David Johnson: Academic medicine, where privilege compounds dysfunction
Academic medicine should focus less on facilities and specialized care delivery and embrace preventive health and affordable care access.
Laurie Beyer: Routine rounding helps yield financial improvements
Laurie R. Beyer, executive vice president and CFO at GBMC HealthCare, says clinical and administrative leaders should routinely round together to understand issues impacting the medical center.
Joe Fifer: The courage to embrace change
HFMA President and CEO Joe Fifer offers perspectives on the revenue cycle workforce shortage.
Departments
Chapter news: Nebraska Chapter celebrates a legacy of leadership
The recent installation of officers for HFMA’s Nebraska Chapter was a celebration of leadership, legacy and family.
People: UASI names Nancy Koors as CEO
HFMA member Nancy Koors was named CEO of UASI. Healthcare finance professionals Steve Blake, Tamara Ceseña, Alexander Fernandez and John Mordach have new CFO roles.
News Briefs: Medicare’s proposed FY24 update to inpatient payments falls short, hospitals say
As published in the May 2023 issue of hfm, this roundup presents the top news stories for healthcare finance professionals.
Supplements
Simon’s ensures the highest recovery rates and adheres to strict compliance standards
Find out how this debt collection services provider ensures its clients are updated on changes in state and federal compliance and law, while also leveraging digital components and maintaining the latest technology.
CareCredit: How the patient financial experience impacts loyalty
The patient financial experience plays a critical role in determining not just whether patients seek care, but also where they receive care and the likelihood that they will stick with a healthcare provider.
Kaufman Hall: How managed care contracting strategies promote operational resilience
In an increasingly volatile marketplace, managed care contracting is quickly becoming a strategic priority for many healthcare organizations nationwide. As such, providers have begun to ask difficult questions.
Creative solutions to tackling top challenges in healthcare: 3 key insights
In this roundtable, several healthcare leaders shared lessons they learned navigating through major challenges due to COVID-19 including data security concerns, high rates of burnout and workforce shortages.
Harris Affinity Decision Support can help healthcare leaders identify meaningful areas for improvement
Improve your healthcare organization by leveraging advanced cost, performance, reimbursement and profitability data to inform and drive critical financial, operational and clinical decision-making.
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