Why a health system’s growth strategy should include a build-versus-buy analysis
Recent market disruptions in the hospital industry make it imperative that health systems be precise in their capital planning for growth initiatives as part of an overall strategic vision. An essential goal for such planning is to find a balance between service line diversification and expansion, while maintaining sound financial results. Weighing the pros and…
How to respond to Medicare Advantage’s rising headwinds
In recent years, the Medicare Advantage (MA) program has enjoyed rapid membership growth. About 33 million Americans — or 54% of all Medicare-eligible individuals — are currently enrolled in MA, according to a recent Kaiser Family Foundation analysis.a For providers and payers that participate in MA, success is predicated on facilitating a virtuous cycle: a…
Networking and practical solutions are 2 of the top HFMA Community benefits
Some of the most active groups in HFMA’s online Community were formed as a result of member suggestions. That’s why Community managers listened when they recently received requests for new groups to discuss current events and needs. The 450-member strong Change Healthcare outage group is one prominent example. As the impact of the Change Healthcare…
Ken Perez: An assessment of the health policies of Kamala Harris and Donald Trump
The 2024 presidential election features a shift in policy position by Democratic Party candidate Kamala Harris, who has distanced herself from her previous advocacy of Medicare for All, while Republican Party candidate Donald Trump appears less intent on repealing the Affordable Care Act.
Premier’s AI platform offers a data-driven solution for medical group leaders
Learn about how Provider Practice Benchmarking allows medical group leaders to directly measure their performance across more than 150 physician and advanced practitioner specialties in a number of areas from a single reporting platform.
Healthcare organizations increasingly rely on third-party solutions for RCM tasks
While healthcare organizations rely on native EHR functionality for certain revenue cycle management (RCM) tasks, they increasingly look to third-party solutions for others. But what questions should they be asking? Check out key takeaways in this research report.
Ramifications of a proposed rule to halt credit reporting of medical debt
A proposed rule from the Consumer Financial Protection Bureau (CFPB) would curtail the inclusion of medical debt in credit evaluations, potentially shaking up healthcare billing and collections processes. The CFPB framed part of its rationale for the June 11 rule in the context of privacy, noting Congress previously limited the sharing of a patient’s medical…
News Briefs: Supreme Court ruling on Chevron makes regulations more vulnerable to legal challenges
The Supreme Court issued a decision June 28 that has dramatic implications for the regulatory infrastructure in healthcare, among many other industries. Under the Supreme Court’s 1984 Chevron v. Natural Resources Defense Council decision, courts were guided to give deference in their rulings to federal regulatory authorities such as CMS. Such agencies were deemed to…
Grace-Marie Turner: Medical innovation should not be stymied by misguided policy
The Inflation Reduction Act and the proposed march-in rights framework are threatening medical progress and innovation, leading to higher costs for seniors, fewer job opportunities, and a decrease in the number of new drugs brought to market.
Wyoming Chapter proves simplicity yields success
Philanthropic projects are as much a part of HFMA chapter events as professional education. Through such projects, chapter members volunteer much-needed services and donate thousands of dollars to improve the health and well-being of their communities. And it doesn’t always take a major lift to pull off a philanthropy project that makes a difference. In…