HFMA
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HFMA
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Case Study Evolution of a Medical Group
WellSpan Health, a $2 billion integrated, physician led health system headquartered in York, Pa., uses a variety of organizational structures to solve the “participatory governance challenge” for their employed physicians. WellSpan’s genesis as an integrated delivery system began in 1993 when a
Key Questions to Help Inform Efforts to Develop High Performing Medical Groups
As hospital and health systems move further toward developing high performing employed medical groups, they should consider the following questions Do we need to make changes to physician governance or management to provide greater involvement in decision making and to
Case Examples of the Use of a Dyad Management Model
Two leading health systems—WellSpan Health and Baylor Scott & White Health—exemplify the principles of an effective dyad management model, involving the pairing of physician and administrative leaders. WellSpan Health. Based in York, Pa., WellSpan Health employs a dyad management model
Additional Resources
American College of Emergency Physicians, Lessons Learned from Hurricane Sandy and Recommendations for Improved Healthcare and Public Health Response and Recovery for Future Catastrophic Events, Final Report, Dec. 22, 2015. Arendt, L.A., and Hess, D.B., Hospital Decision Making in the
HFMA Executive Roundtable: Optimizing the Revenue Cycle IT Investment
Many providers struggle to fully realize the benefits of revenue cycle technology. In this roundtable, several healthcare leaders discuss how they are working to get the most from their automated solutions, particularly with regard to revenue integrity and preparing for value-based payment models.
The Changing Role of Revenue Cycle Outsourcing
There has long been a debate about whether it is wise to outsource some or all of revenue cycle operations to third-party experts who specialize in optimizing financial performance. In the following roundtable, several revenue cycle leaders discuss the role of outsourcing in their own organizations and how they envision it changing as the industry evolves.
Ask the Experts: Stark Law and Promotion of Services
Our health system has a new obstetrician/maternity group that it wants to promote on our website and through mailings and e-mail campaigns. Are there any Stark Law or anti-kickback issues that we should be aware of?
Ask the Experts: Payer Preference for Imaging Centers
Our hospital is beginning to feel the sting of payers steering their members from scheduled high-end imaging procedures at our facility to free-standing imaging centers. How are other hospitals and health systems responding to or reacting to this practice?
Video: How to Ensure a Clean 340B Audit
Effective 340B compliance requires thinking beyond 340B as a pharmacy program.
Ask the Experts: Contractual Write-Offs
For internal reporting, can underpayments and contractual write-offs be included when reporting uncompensated care?