Cost of Care

Dennis Dahlen: Are states losing patience with the pace of healthcare value transformation?

The pace of state-based regulation and oversight of healthcare providers is accelerating — and it could be an indication that patience is growing thin with federal, payer and provider efforts to improve healthcare value.  Across the nation, we’re seeing a growing number of states adopt healthcare affordability boards. It’s a trend that started to pick…

Dennis E. Dahlen, FHFMA, MBA, CPA October 30, 2023

Amid positive signs financially, hospitals continue to grapple with high costs in labor and other areas

The latest financial metrics for the hospital sector reflect a period of increasing stability but also sustained challenges. August financial data from more than 1,300 hospitals, as reported by Syntellis Performance Solutions, showed improvements in key metrics. The month-over-month increase in median operating margin was 3.5 percentage points, helping the year-to-date margin rise to 1.4%…

Nick Hut October 17, 2023

The best care starts with the patient

Rami Karjian and Pippa Shulman from Medically Home discuss why higher payment and lower length of stay isn't always the best benchmark.

Erika Grotto October 10, 2023

Insights on population health management challenges through the eyes of C-suite leaders

Population health management is at a crossroads, and one key to ensuring its viability is to bolster stakeholder trust in the potential of value-based payment (VBP) models. That was a key takeaway from healthcare executives who took part in a September panel discussion at the 23rd annual Population Health Colloquium, hosted by the Jefferson College…

Nick Hut October 5, 2023

Published data quantify how cost increases will continue to affect the healthcare industry next year

The cost to treat patients will accelerate next year, with ramifications across the healthcare industry, according to newly published projections. PwC’s Health Research Institute reported that the cost of providing care will increase by 7% in 2024, up from a 6% increase this year and 5.5% in 2022. A 7% increase would tie 2021 for…

Nick Hut September 7, 2023

Summary: 10 vital responses to healthcare disruption

Note: This article is a summary of a report on HFMA’s Spring Thought Leadership Retreat. The full report is available to download. Disruption is reverberating throughout the healthcare industry, and it’s incumbent on legacy organizations to develop strategic responses for the benefit of their consumers, their communities and themselves. With that overarching challenge becoming ever…

Nick Hut August 30, 2023

News Briefs: Hospitals foresee adverse impacts from the FY24 inpatient payment rule

The FY24 final rule for Medicare inpatient payments didn’t bring hospitals the type of rate update they had sought, and for some organizations, a bigger concern is changes to uncompensated care (UC) payments. The regulations, which take effect Oct. 1, establish a 3.1% increase in operating payment rates, on average, for hospitals that meet quality-reporting…

Nick Hut August 30, 2023

Prices of drugs for diabetes, heart failure and more will be up for negotiation in Medicare next year

The U.S. Department of Health and Human Services (HHS) on Tuesday announced the first 10 Medicare Part D drugs that will be subject to price negotiations, the headlining healthcare-related provision of the Inflation Reduction Act. Signed in August 2022, the law gave Medicare authority to negotiate with drug manufacturers over the prices of selected drugs.…

Nick Hut August 29, 2023

HFMA, Selat/Nawa and KSA Ministry of Health collaborate on one-day educational event in Riyadh

The Healthcare Financial Management Association (HFMA) is offering a new international educational opportunity with a one-day healthcare finance event, at the Global Health Exhibition in Riyadh on Oct. 31. Selat, a Riyadh-based revenue cycle management consulting firm and its training arm Nawa, is the exclusive sponsor of the event and will also provide instruction during…

Betty Hintch, CHFP August 18, 2023

5 things to know about Medicare’s FY24 final rule for inpatient payments as hospitals foresee adverse impacts

The FY24 final rule for Medicare inpatient payments didn’t bring hospitals the type of rate update they sought, and for some organizations a bigger concern is changes to uncompensated care (UC) payments and disproportionate share hospital (DSH) payments. Here are five big points about the regulations, which take effect Oct. 1 and also cover Medicare…

Nick Hut August 2, 2023
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