Population Health Management: Opportunities and Challenges for Captives
Healthcare providers can best manage the risk posed by population health management initiatives by forming captive health plans and acquiring reinsurance to cover potential catastrophic loss.
Acquisition Versus Independence: Will Hospitals Continue Acquiring Physician Practices?
Small and solo physician practices are finding better ways of coping with administrative burdens, making it more practical, and desirable, to maintain or return to independence.
Rebalancing the Portfolio
As they modify their strategies to account for change in 2019, healthcare organizations should consider how risks and rewards might have changed and where they might best redeploy their dollars.
Understanding Why Hospital Costs Are Increasing: It Depends on the Metrics
An analysis of factors driving increases in payment in the U.S healthcare industry, using Equivalent Discharges as the volume metric, finds that 84 percent of the increase are related to increased population and intensity of service.
Recalibrating Payment in the Era of Consumerism
Among the key functions of an effective patient access program are to ensure patients receive clear and concise bills for their health care and to make those bills easy for patients to pay at the time of service.
Patient-Centric Aid in a Consumer-Driven Marketplace
An adaptive financial assistance system that bills according to a patient’s economic situation can encourage better rates of patient payment.
Capital Markets 2018 Wrap-Up and Trends to Consider for 2019
The healthcare sectors’ extended access to abundant, low-cost, and relatively low-risk capital will change in 2019, and tracking four key issues will illuminate how those changes impact capital finance.
Work: The Cure For Political Overload
HFMA President and CEO Joe Fifer discusses why today’s healthcare challenges transcend politics—and the implications for healthcare finance leaders.
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.
Imagining a More Consumer-Centric Approach to Patient Financial Communications
HFMA, the AHA, and AHIP have developed a guide for healthcare consumers designed to help them know how to avoid surprise out-of-network medical bills; healthcare organizations are encouraged to share the guide with their patients.