States look to Medicare-based reference pricing as the solution to price variation for employee hospital services
To reduce prices paid for hospital services delivered to their employees, Montana and North Carolina are pursuing reference pricing based on Medicare rates.
How a Hospital or Health System Can Assess the Risk of Moving to Value-Based Payment
To gain a clearer understanding of the financial impact of transitioning to a value-based model, healthcare executives can learn from the experiences of another health system that has undertaken a similar migration.
Utilization Review: 5 Reasons Hospitals Lose Revenue
Hospitals can gain significant revenue by implementing an effective utilization review program.
Confessions of an Innovation Killer
As I look back at innovation and my CFO role, I feel like I was a serial murderer of innovation.
National SNF Analysis Detects Decline in Average Length of Stay
U.S. skilled nursing facilities saw a decline in average length of stay from 2011 through 2017, coupled with an increase in discharges.
An effective healthcare real estate compliance program: critical to health system success
Physician real estate agreements are an important focus of a compliance strategy.
Address risk factors to bend the cost curve in chronic care
To effectively manage the costs of care for patients with chronic conditions, healthcare organizations should look at social and behavioral factors to identify patients who could benefit from care management.
Drivers of healthcare cost growth, and commercial health plans’ responses
Efforts to control the growth of healthcare costs nationwide have focused on reducing variation both in utilization and price.
3 key enablers to implementing a successful clinical revenue cycle operating model
Hospitals and health systems should develop an operating model to address a new revenue cycle concept, called the clinical revenue cycle.
Revenue integrity: an evolving function for hospitals and health systems
Hospitals and health systems require a revenue integrity function to best manage revenue cycle processes in today’s healthcare environment.