Trends

M&A Basics: How to Avoid a Broken Deal

Hospital leaders involved in merger and acquisition discussions need to understand some fundamentals about these transactions to ensure a successful outcome.

Curtis Bernstein February 19, 2015

An Antitrust Primer

It may be helpful to remember certain basic principles of antitrust law when contemplating mergers and acquisitions.

J. Stuart Showalter February 19, 2015

A KPI Primer: 5 Steps for Creating Meaningful Revenue Cycle Metrics

Healthcare revenue cycle KPIs that have a defined purpose and are actionable can raise staff performance and improve processes.

Kathleen B. Vega February 18, 2015

NY Rural Providers Turn Medical Homes into an ACO

What makes this medical home project different from many others around the country is that it is an all-payer pilot. After lengthy negotiations between providers and payers, the health plans agreed to pay the medical homes $7 per member per month to care for some 100,000 patients during the first year.

Laura Ramos Hegwer February 12, 2015

Accounting for Non-Performance-Related Variation in Shared Savings Contracts

Variation between targeted and actual PMPM costs can be due to numerous factors, including many that have nothing to do with the quality or cost of care provided to ACO members.

Karen Wagner January 22, 2015

Six Ways to Address Non-Performance-Related Variation in ACO Contracts

While not yet a perfect science, payers and providers can begin to address non-performance-related variation in a number of ways.

Karen Wagner January 22, 2015

What Does Financial Success Look Like in the CAH World?

CFO Bryce K. Betke credits four key factors for Crete Area Medical Center’s success: affiliation, payer mix, physician employment, and population health.

Lauren Phillips June 12, 2014

The Physician Value-Based Payment Modifier: Summary of National Provider Call

Beginning in 2015, physicians will be financially rewarded by Medicare for providing higher-quality, more efficient care. Here’s what CMS told providers about the payment adjustment during a Dec. 3 call.

HFMA December 16, 2013

Highlights from Nov. 12 Open Door Forum on 2-Midnight Rule

On Nov. 12, 2013, CMS hosted a third, follow-up special open door forum to allow providers and other interested parties to ask questions on those areas of the two-midnight provision contained in the FY14 IPPS final rule, pertaining to physician order and certification, inpatient hospital admission, and medical review criteria.

HFMA November 21, 2013

Double Checking Your Medicare Cost Report

Here are seven issues that need to be correct on your cost report to ensure appropriate Medicare payments.

Scott Besler October 22, 2013
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