5 lessons on launching a provider-sponsored health plan
Leading health systems are beginning to reap the benefits of health plan ownership. Organizations that are preparing to launch provider-sponsored health plans can benefit from the lessons learned by four health systems that have experience with this strategy.
BLS|Revecore: Technology-Driven Underpayment Review Services
In this article, BLS|Revecore talks about how its underpayment review technology and deep industry expertise help organizations collect dollars that would otherwise go unrecovered.
How primary care physicians can navigate business intelligence challenges under risk models
To succeed with new payment models, physician practices must redouble their business intelligence efforts.
Navigant Consulting, Inc.: Hospitals and Health Systems Prepare to Assume More Risk
: This research highlight discusses key takeaways from a May 2019 HFMA study of hospital and health system senior financial executives about their organizations’ interest in and capabilities for assuming risk.
Why PAC discharge choices are key to success under risk-based payments
As demonstrated by the experiences of two health systems, developing an effective post-acute care strategy requires a focus on the discharge-planning process, stakeholder engagement, and data to promote stakeholder awareness.
Single-payer concept for U.S. healthcare requires close fiscal scrutiny
The concept of "Medicare for All" has been a focus of much debate leading up to the 2020 presidential election, and the likely cost of such a program is an important factor that needs to be considered.
The CFO’s role in driving value in healthcare through informed collaboration
Hospital and health system finance executives should promote clinical, economic and administrative alignment between their organizations and health plans as a necessary step necessary for achieving success under value-based payment contracts.
Creative partnerships bring relief from soaring drug prices
With drug costs emerging as a central concern for healthcare leaders, providers are trying to mitigate the problem through partnerships.
Why hospital outpatient physical therapy is a good revenue source I HFMA
It makes good business sense for health systems to make outpatient physical therapy a priority given the payment landscape for such services and the value they can provide.
Financial impacts of Medicare expansion proposals on hospitals appear daunting
Various scenarios for expansion of Medicare are likely to be widely discussed in the lead up to the 2020 presidential election. An analysis assesses the possible impact of each scenario for a hypothetical U.S. acute care hospital.