Cover Story
Fundamentals of Effective Cognitive Predictive Analytics
To obtain a healthy ROI for a predictive analytic system, hospitals and health systems should assess its own needs against what the system promises to deliver.
By Ritesh Sharma and Leigh Williams
From the President’s Desk
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Expanding on thoughts in his May 2017 column in hfm, HFMA President and CEO Joe Fifer talks about the outlook for healthcare finance leaders. |
HFMA Video Spotlight
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.
Early Edition
Using Data Analytics to Transform Healthcare Management and Reduce Clinical Variation
Hospitals and health systems have entered a new era in which data analytics will play an increasingly vital role in identifying opportunities for improved performance.
By Laurie Jaccard, RN, and Sharon Carroll, FCAS
Charging Appropriately for Emergency Department Visits
To determine a fair charge for an emergency department visit, a hospital or health system must separate its costs into three categories.
By David W. Young, DBA
The Risky Business of RADVs
By identifying some of the factors that set apart those health plans chosen for RADV audits, healthcare organizations can better prepare for their own selection.
By Kim Browning
Healthcare Matters
Preventing Readmissions: A Primary Care Strategy
To engage primary care physicians in efforts to reduce readmissions, a hospital should effectively communicate with them, support their educational needs, and seek their input regarding post-acute care provider options.
By Clive Fields, MD
Features
Time for a Medicare Check-Up
A level of care and length of stay review can provide a hospital with an effective means to assess compliance risk and identify revenue opportunities.
By Charles L. Buttz, MD, MBA, CPE, FAAFP
Case Study
How Allina Health Used Data to Improve Quality and Reduce Cost
Data can be the key to improving financial performance while maintaining patient satisfaction.
By Penny Wheeler, MD
Preparing for Value-Based Payment: Fundamental Change That Encompasses the Revenue Cycle
The transition to value makes it necessary for healthcare organizations to find new ways to adapt to change.
By Jon Melling, FHIMSS
Focus Area
Cost & Quality
Tying Together Acute and Post-Acute Care—Formally Versus Informally
Partnerships between hospitals and skilled nursing facilities are proving helpful as healthcare organizations seek success in a value-based system.
By Brad Competty
Columns
From the Chair
Thrive On
Mary Mirabelli reflects on her term as HFMA Board Chair.
By Mary Mirabelli, FHFMA
From the President
Short-Term Pain for Long-Term Gain
Finance leaders who engage exclusively in short-term thinking do so at their organization’s peril.
By Joseph J. Fifer, FHFMA, CPA
Eye on Washington
From Multiple Health Plans Back to “No Plan”
Healthcare reform may have been temporarily sidelined, but the need to reform, repair, or replace the Affordable Care Act remains.
By Gail R. Wilensky, PhD
Business Intelligence
Collaboration Across Competitors
As organizations look to increase the volume of data available, many are looking to forming alliances with competitors.
By Erick McKesson, MBA, PMP
Healthcare Reform
How the AHCA’s Failure Could Rekindle the Lost Art of Compromise in Washington
With stalled efforts on both sides of the aisle, it may be time for Democrat and Republican leaders to come together on healthcare legislation.
By Ken Perez
Supplement
Action Brief
Option Care: Five Strategies for Building Effective Post-Acute Partnerships
This action brief outlines the benefits of a well-designed partnership between a hospital and post-acute provider and shares the key steps involved in building one.
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Business Profile
Xtend Healthcare: Helping Organizations Optimize Their Revenue Cycle
Mike Morris, president of Xtend Healthcare, discusses the value of partnering with a revenue cycle management vendor that has deep experience in delivering strong ROI.
