HFMA
About the Author
HFMA
Latest Work
What’s in Your Pricing Policy?
A recent survey reports that the majority of hospitals have formal or consistent methods for setting prices, but transparency is often missing.
Ask the Experts: The Impact of Stark, Anti-Kickback Laws on ACOs
How are ACOs managing the Stark Law and Anti-Kickback Statute?
The Outlook for Healthcare Finance Leaders
HFMA President and CEO Joseph J. Fifer, FHFMA, CPA, talks about the merits of a short-term vs. long-term outlook for healthcare finance leaders.
Overview of the American Health Care Act
This slide deck summarizes the American Health Care Act as passed on May 4, 2017.
Video: What Provider Organizations Need to Start Successful Health Plans
Paul Keckley, managing editor of The Keckley Report, explores what provider organizations need to start successful health plans.
hfm Magazine: May 2017
hfm Magazine: May 2017
Case Example: A Large Medical Group Transitions to Value
The transition to value makes it necessary for healthcare organizations to find new ways to adapt to change.
Where’s the Risk
The secret to success under value based payments is an organization’s ability to identify and stratify risk. Risk falls into four basic categories Financial risk—managing with less revenue than in the pastQuality related risk—meeting requirements for qualityClinical risk—achieving agreed upon
Ask the Experts: Managing Health Plan Overpayments
I have heard there is a rule that health plans cannot recoup overpayments that are more than one year old. Does that stipulation vary by state, or is that a rule that is negotiable per contract?
Ask the Experts: Contracting with Small Health Plans
When negotiating with large and small health plans, what areas of comparison should I look at to be sure I am getting the same levels of service from the various plans?