Cover Story
Starting Small With Population Health Management
Starting small can help hospitals and health systems prepare to shift to a population health management model.
By Reema Shah
From the President’s Desk
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Expanding on thoughts in his March 2017 column in hfm, HFMA President and CEO Joe Fifer talks about why the value transformation depends on courage in leadership.
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HFMA Video Spotlight
Video: Optimizing Medical Group Revenue Cycle Performance to Meet Physician and Health System Goals
Emily Alverson, senior director at Huron Consulting Group, discusses key steps in how to optimize medical group revenue cycle performance.
Early Edition
The New, No-Norm World of Health Care
With the emergence of provider-owned health plans, accountable care organizations, and “hybrid” organizations, the healthcare industry is proving that the only constant these days is change.
By Joe Van De Graaff
Case Study
Physician Revenue Cycle Improvements in an Integrated Health System
Benefis Health System in Great Falls, Mont., undertook a physician revenue cycle initiative with the goals of improving and standardizing the revenue cycle processes of all its physician practices and, ultimately, creating a consistent patient experience.
By Greg Tierney, MD, Cathy Smith, FHFMA, MS, CIA, CISA, CFE, and Eric Wilberg, MBA, CHFP
Healthcare Matters
Value-Based Payment—from a Different Perspective
Offering a provider-sponsored health plan offers distinct advantages to a health system for achieving the objectives of value-based care.
By Kurt J. Wrobel, FSA, MAAA
Features
Building a Value Model for Population Health Management
A data-driven “value model” can help healthcare organizations plan the scale and pace of investments into population health management in preparation for value-based contracting.
By Daniel J. Marino, MBA, MHA
Case Study
Value-Based Compensation for Primary Care: A Success Story
Bon Secours Virginia Medical Group developed a quality-based bonus program to prepare its primary care physicians for valued-based payment models.
By David L. Kelly, MD and Scott Rusz, MHA
Incorporating Social Determinants Into Population Health Management
To be able to consistently deliver high-value care for patients with chronic illnesses, healthcare providers must address the social determinants of health that can affect health quality for such patients.
By Karen Handmaker, MPP
Beyond the Medicare Annual Well Visit: Maximizing Revenue for Hospital-Owned Practices
Medicare-covered services may present a new source of revenue for hospital-owned physician practices.
By Cathy Zito and Joette P. Derricks
Focus Area
Cost and Quality
Adapting Population Health Strategy in a Changing Environment
Although the future of healthcare legislation is uncertain, population health management will be foundational to navigating the changing environment.
By Katherine W. Ziegler, BSN, MHA
Columns
From the Chair
Population Health: It’s Personal
To achieve effective population health management, healthcare providers must engage with patients and empower them to manage their own health.
By Mary Mirabelli, FHFMA
From the President
Alternative Payment Models: The Courage to Lead
Healthcare finance leaders are finding the courage to move forward with value-based payment despite the uncertainties of a new administration in Washington, D.C.
By Joseph J. Fifer, FHFMA, CPA
Eye on Washington
From “No Plan” to Multiple Plans, but No Consensus to Date
As the Republican-led Congress considers ways to fulfill campaign promises to repeal and replace the Affordable Care Act, they face practical challenges and a lack of consensus about how to proceed.
By Gail R. Wilensky, PHD
Healthcare Reform
The Fate of Value-Based Care with an ACA Repeal
The move to value-based care may not go forward under Republicans’ plan to repeal and replace the Affordable Care Act.
By Ken Perez
Departments
Data Trends
Hospitals Face Challenges From Medicare Cost and Payment Trends
An analysis finds that Medicare payments for hospital admissions are declining even as hospitals’ cost per admission is rising, pointing to an increased need for aggressive cost containment efforts by hospitals.
Supplements
HFMA Executive Roundtable
Engaging with External Partners to Support Value-Based Care
Sponsored by Option Care
HFMA Executive Roundtable
Voices on Value: Key Insights From Top CFOs
Sponsored by IBM
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Business Profile
Medxcel Facilities Management: Working Smarter to Make Organizations Safer
Michael Argir, CEO and president of Medxcel Facilities Management, discusses the value and benefits of insourcing facilities-management services.
Business Profile
Professional Credit: ‘The New Deal’ Approach to Healthcare Collections is Data-Driven and Consumer-Focused
Professional Credit’s President Scott Purcell and Chief Marketing Officer Jeff Johnson discuss the value of having a comprehensive and responsive collections partner.
