Supreme Court to Hear Fraud Case
Depending on a Supreme Court decision later this year, false claims plaintiffs and their attorneys may have wider latitude to bring lawsuits.
How Minnesota Safety Net Providers Found Success in a Medicaid Alternative Payment Model
A combination of preparation; using data to stratify patients by risk category; and integrating primary care, behavioral health, and social services is helping Minnesota safety net providers succeed in a Medicaid accountable care initiative.
Developing an Effective Revenue Cycle Meeting Agenda
An effective revenue cycle department meeting covers KPI updates, challenges and successes, and input from other department leaders as needed.
Millennials Set Pace for Healthcare and Revenue Cycle Management
Millenials want convenient onsite and virtual healthcare service options as well as transparent pricing and easy-to-use payment tools.
How Hospital CFOs Can Work More Effectively With Their Boards of Directors
CFOs can take five steps to encourage strong board relations and governance.
Acting on the Signs and Solutions of Financial Distress
Hospitals and health systems will find the solutions to financial distress more palatable if they recognize the warning signs early and act appropriately to address them.
Finding Success in the Physician Feedback Program/Value-Based Modifier
By taking certain steps, physician practices can make the most of CMS’s quality outcome feedback and payment program.
Should Your Health System Sponsor a Health Plan?
Hospitals and health systems considering sponsoring a health plan must first decide whether they can balance cost and quality before looking at tradeoffs between revenues and the attractiveness of premiums.
How CHRISTUS Health Supports Exchange Enrollment
CHRISTUS Health appoints regional executives who work with coalition partners to reach market-specific health insurance exchange enrollment goals.
Negotiating Tips for ACO Contracting
Successful payer negotiations to launch commercial ACOs will depend on careful preparation and understanding of hospitals’ capabilities, says George Wojtal.