hfm May 2023

Workforce edition

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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