hfm

How healthcare providers can streamline A/R through partnerships  

The efficient management of accounts receivable (A/R) is essential for maintaining the fiscal health and operational effectiveness of any healthcare organization. Finance leaders are increasingly recognizing the benefits of leveraging strategic A/R partnerships to improve revenue cycle operations, decrease costs and boost liquidity. It is imperative, however, that they take a systematic approach to understand…

Ryan Downs, CHFP, CRCR, CPA July 26, 2024

David Johnson: Walmart Health’s demise is emblematic of the nation’s primary care conundrum

Walmart’s announcement on April 30 that it was pulling the plug on Walmart Health stunned the healthcare ecosystem.a Few saw it coming. Launched amid much fanfare in 2019, Walmart Health has operated 51 health centers in five states, with a robust virtual care platform. Walmart’s news release noted that “the challenging reimbursement environment and escalating…

David W. Johnson June 19, 2024

CMS’s 2024 MA rule brings some improvements but falls short of addressing all providers’ concerns

Hospitals and other healthcare providers welcomed CMS’s release in 2023 of the 2024 Medicare Advantage and Part D final rule (CMS-4201-F).a The rule represents CMS’s effort to refine the practices of MA organizations by placing limitations on prior authorization, elevating requirements for provider directories and making comprehensive adjustments to the MA and Part D quality…

Mattie Smith, JD June 19, 2024

Personalized communication helps State provide the highest possible recovery and patient-satisfaction rates for clients

Learn about a company that combines advanced technology with human interaction to increase recoveries and patient satisfaction.

HFMA June 4, 2024

News Briefs: A second appeals court rules against providers in the 340B contract-pharmacy dispute

A decision issued by an appeals court represents the latest setback for 340B providers seeking to secure price discounts on Medicare Part B drugs. The D.C. Circuit Court of Appeals on May 21 upheld a district-court ruling that drug manufacturers can impose restrictions on the 340B discounts they provide for drugs dispensed at contract pharmacies.…

Nick Hut June 3, 2024

HFMA’s editorial team earns 19 awards for excellence

HFMA has been honored with a total of 19 awards of excellence for various editorial pieces produced and published in 2023. The recognized pieces were as follows: “We know the original content our editorial team produces, including hfm, online posts, blogs, monthly newsletters and podcasts, is valuable to our members because you tell us so…

Deborah Filipek June 3, 2024

How one health system focused on revenue cycle staff education to improve its denial rate

Many longtime revenue cycle leaders can recall a simpler time when insurance companies sold plans that were broadly accepted by providers in their service areas. Back then, hospitals provided services to patients, billed their health insurance plans and expected relatively prompt payment. This is no longer true. Today’s revenue cycle team members must be knowledgeable…

Kristen Shoup, CHFP, MBA, RHIA June 3, 2024

Ken Perez: How 3 presidential candidates are defining their prescription drug pricing policies

What do voters care most about? It’s arguably the most salient question in every election cycle. Each March, to answer that question, Gallup asks Americans to rate their concern about a variety of national issues. This year’s survey asked respondents about 14 different issues.a Inflation came out on top, with 55% of those surveyed worrying…

Ken Perez June 2, 2024

Change is inevitable: What are you doing about it?

Strategies evolve. Operations evolve. Leadership concepts evolve. That’s the circle of life in the healthcare industry. Ongoing changes can affect what healthcare leaders focus on from one year to the next. That idea might well be encapsulated in the differences between what the CFOs featured in this column in FY2022-23 cited as their suggested guiding…

Steven Berger, FHFMA June 2, 2024

What health systems need to know about partnering to develop an ASC strategy

Health systems must contend with conflicting imperatives. While remaining intensely focused on day-to-day operations and financial viability, they cannot ignore longer-term strategic imperatives, which may include building out a full continuum of care to succeed under value-based payment while maintaining market relevance. Yet many health systems face significant impediments to broadening the continuum of care,…

Daniel M. Grauman, MBA, CPA/ABV June 2, 2024
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