Cost Effectiveness of Health Report, October 2023
This issue of HFMA’s Cost Effectiveness of Health Report, sponsored by Kaufman, Hall & Associates, LLC, previews the November 2023 hfm cover story, which highlights recent data-driven approaches aimed at reducing the adverse impact of social determinants of health. Other features include the latest entry in HFMA’s Healthcare 2030 series and an expert-reviewed case study of a payer-provider collaboration.
SDoH Data Analytics
Using data analytics to address SDoH and contain costs
By Lisa A. Eramo, MA
Only through the effective use of data and analytics can health systems begin to address the adverse impacts of social determinants of health on their communities. Industry leaders offer insights on this “just cause.”
Value-based care
Still waiting for value-based care
By Lola Butcher
The effort to adopt value-based payment in healthcare is losing some of America’s biggest healthcare purchasers: large employers, many of which are giving up on the concept.
Expert-reviewed: Payer-provider collaboration
How a payer and provider are effectively working together to improve quality reporting
By Brian Wheeler and Mo Weitnauer
A collaboration between the Baltimore, Maryland-based organizations LifeBridge Health and CareFirst BlueCross BlueShield exemplifies how payers and providers can work together constructively in delivering and reporting high-quality care.
Healthcare Policy
4 reasons results of the 2024 election won’t matter for healthcare
By Andrew Donahue
With the 2024 presidential election only a year away, healthcare leaders should consider the impersonal forces that will almost certainly define the next era of healthcare reform, irrespective of political party and/or individual ideology.
Innovation and Disruption
Right-sizing physician training? The case for surgical mechanics
David W. Johnson
No aspect of U.S. healthcare requires “disruptive thinking” more than surgical care, and the amount of training surgeons require to perform their various procedures.
Health insurance
The employer strikes back: The hollowing of the commercial health insurance market
Sponsored by Kaufman Hall
By Joyjit Saha Choudhury
Today’s commercial group health insurance market is hollowing out, primarily as a result of affordability pressures that have been building for decades, with significant impacts on both payers and providers.
Leadership
HCA CFO William Rutherford says healthcare finance leaders should have a patient focus
By Steven Berger, FHFMA
To consistently perform at the highest levels, health system CFOs must have a commitment to clear and specific guiding principles, Rutherford explained in an interview for HFMA’s Voice of Experience column.
Cost Effectiveness
Improved cost effectiveness is a common theme among hfm’s 2022-2023 Best Article Award winners
HFMA recently recognized three articles published in hfm as the FY22-23 winners of the Helen Yerger/L. Vann Seawell Best Article Award for outstanding editorial achievement. The articles share a focus on ways healthcare organizations can improve cost effectiveness.