Preventing Readmissions with a Personal Touch
An in-depth look at how one organization is preventing chronic care readmissions through in-home monitoring, patient education, and counseling.
Transitioning to a New Medicare Benchmarking Paradigm
As commercial health plans adopt a case-rate approach to payment based on Medicare’s MS-DRGs, modifications are needed to account for how health plans’ populations differ from the Medicare population.
The Conscience of the Generic Drug Market
Created to address the high costs and shortages of generic medications, the not-for-profit generic drug manufacturer Civica Rx aims to be a societal asset by providing patients across the nation with affordable access to the medications they need.
AI Meets Health Care’s Turnover Problem
One health system found that artificial intelligence (AI) can provide an effective means to ensure the right nurses are hired for the right roles, which helps it meet strategic goals on quality, satisfaction, and costs.
The Trump Administration’s Proposed Reorganization of the Federal Government: Implications for Health Care
President Trump is proposing significant reforms to government structure that may improve administrative efficiency but may at the same time gut what is left of the nation’s safety net.
It’s all connected
Efforts to improve the patient financial experience should not be undertaken in isolation. HFMA President and CEO Joe Fifer explains why.
The ongoing pursuit of better payment models
HFMA will be your source for all things related to payment trends, as it may be one of the hottest topics in our industry.
Understanding the System Bottom Lines for Market-Based Primary Care
The concept of primary care is being transformed by changes to its subsystems related to demand, supply, organization, and linkages.
Lessons Learned from New York State’s Transition to Value
New York is a leader among U.S. states in promoting the healthcare industry’s transition to value-based payment, and healthcare providers nationwide can benefit from understanding the details of the state’s approach.
7 Considerations in the Financial Modeling of Value-Based Payment Arrangements
In preparing for the impact of changing to value-based payment, hospitals must be able to predict the gain or loss from related incentives, penalties, volume changes, and other factors. Seven considerations provide a guide to successfully managing the shift.