Payment Reimbursement and Managed Care

Analysis: 6 strategies of successful ACOs revealed in OIG study

The six strategies used by successful accountable care organizations are discussed in a review of a study of successful ACOs, released by the Office of the Inspector General last week.

Chad Mulvany, FHFMA August 1, 2019

The price of precision medicine: 3 ways for health plans to manage genetic-testing costs

With spending on genetic testing expected to grow significantly, health plans can use three steps to get a handle on costs.

Emad Rizk, MD August 1, 2019

Top 5 episode-analytics questions answered

As healthcare providers continue to move toward value-based care models, data and analytics will continue to play an important role. In 2017 alone, U.S. hospitals cared for over 36.5 million admissions. As this number continues to grow, providers will need to understand their patients not only as they pass through their own care journey, but…

Jenn Adam July 30, 2019

2 states take the lead in implementing innovative healthcare reforms

Washington and Colorado are seeking to funnel noteworthy innovations in healthcare reform, including a public option, through their Medicaid infrastructures.

Pam Nicholson, MBA July 25, 2019

Analysis: New mandatory radiation therapy payment model

Details about the new five-year mandatory radiation therapy model released by CMS the week of July 8 are reviewed.

Chad Mulvany, FHFMA July 18, 2019

Analysis: Administration’s plans on drug pricing faced recent multiple setbacks

In the face of recent, multiple setbacks on the Trump administration’s proposals for drug pricing, the administration could move aggressively forward on its anticipated International Pricing Index Model for Part B drugs proposal.

HFMA July 16, 2019

Analysis: Survey results show health systems prepared to take risk

Results of a recent HFMA/Navigant survey show providers are prepared to increase their level of payment risk. HFMA’s Chad Mulvany provides insight on what these results indicate.

Chad Mulvany, FHFMA July 15, 2019

How hospitals can create cost advantage where product differentiation is not present

Cost advantage can be achieved in two ways: Identifying whether efficient levels of cost exist and benchmarking.

William O. Cleverley, PhD July 14, 2019

Joint venture removes provider, patient and payer barriers

A joint venture between Banner Health and Aetna aligns value-based care with economic incentives to reduce the cost of care.

Ed Avis July 14, 2019

Analysis: Effect of expansion of pre-tax accounts for employees to purchase insurance

HFMA's Chad Mulvany shares the possible impact of a proposed rule that allows employers to make pre-tax contributions for employees to purchase individual coverage starting in 2020.

Chad Mulvany, FHFMA June 19, 2019
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