HFMA
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HFMA
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Key Drivers of the Increased Use of Captives with Reinsurance
A number of healthcare industry trends have prompted the widespread use of captive health plans with reinsurance as a means to address risk under population health management initiatives.
Population Health Management Support Services
A captive health plan’s programs and services can be supported by a broad range of services that can be delivered by partner organizations, including case management, claim recovery, and patient advocacy.
CY 2019 Medicare Physician Fee Schedule Final Rule
This document briefly summarizes the payment rate updates under the CY 2019 Medicare Physician Fee Schedule final rule, published by CMS.
Revenue Cycle Strategist: December 2018/January 2019 Issue
Subscribers can view the December 2018/January 2019 issue of Revenue Cycle Strategist.
Artificial Intelligence Offers Revenue Cycle Opportunities
Artificial intelligence streamlines interactions with patients and payers. Examples include real-time out-of-pocket patient estimates, and, to reduce denials, analysis of health plan documentation before claims are submitted.
hfm Magazine: December 2018
The December 2018 edition of hfm explores people and culture in healthcare finance, focusing on performance improvement, academic-community relationships, and care delivery.
2014-16 Trend Shows Continuing Decline in Self-Pay Admissions to Hospitals
An analysis finds a decline in the number of patients admitted to U.S. hospitals without healthcare insurance and an increase in beneficiaries of government-sponsored and commercial insurance plans.
The Path to a Patient-Centric Revenue Cycle
A research highlight that looks at key takeaways from a focus group of senior healthcare leaders about patient collections strategies.
Grant Thornton: Helping Organizations Embrace Robotic Process Automation
Two senior leaders at Grant Thornton talk about the advantages of robotic process automation to improve office efficiency, reduce costs, and mitigate risk.
CY 2019 OPPS/ASC Final Rule
This document highlights the payment rate updates for CY 2019, included in the hospital OPPS/ASC final rule, published by CMS.