Contracting

State legislators roll back Indiana hospital bill that could have cut payments to hospitals

Health plans seeking state legislative help with site-neutral payments will likely find allies among employers who are increasingly frustrated with healthcare costs.

Chad Mulvany, FHFMA March 10, 2020

Atrius Health: Experience with global-risk contracts paves way to success in new arrangement

Previous success in risk-based contracts will allow Atrius Health to thrive in its new global-risk arrangement with Blue Cross Blue Shield of Massachusetts, two of the provider’s leaders write.

Patrick Holland January 13, 2020

A tailored approach to value-based care product development

To be successful, a value-based-payment initiative must be tailored to the provider organization's market and capabilities.

Richard Weil, PhD January 2, 2020

A closer look at healthcare payment methods

A short description of payment methodologies offers context on the argument about whether fixed fees are preferable to percent-of-charge provisions.

William O. Cleverley, PhD January 2, 2020

Why removing percent-of-charge provisions in managed care contracts won’t address concerns about high hospital charges

Removing percent-of-charge provisions in favor of fixed fees would not remove the factors that drive price increases, nor would it reduce administrative hassles or decrease risk.

William O. Cleverley, PhD January 2, 2020

‘We were completely wrong’: How Henry Ford Health System won a major direct contract

How one health system won a large direct contract as such arrangements become more widespread.

Rich Daly December 16, 2019

Why initiate health plan contract testing?

Various circumstances require providers to prepare for the impact of payment changes.

Lauree E. Handlon, FHFMA, RHIA, CRCR December 13, 2019

How to use contract testing and analysis to prepare for payment change

Whether a contract is new or up for renewal, a thorough understanding of the financial implications of changes to provider-payment terms is vital for continued operations.

Lauree E. Handlon, FHFMA, RHIA, CRCR December 13, 2019

How one ACO leveraged universal truths of value-based contracting for success

A finance leader of successful East-coast accountable care organization describes the key factors that have enabled the ACO to thrive under value-based payment contracts.

Eric C. Reese, PhD November 18, 2019

3 components of shared risk executives need to know

Jennifer Carney, vice president, finance and analytics, for Beth Israel Lahey Health Performance Network (BILHPN), describes three basic components of shared-risk contracts.

HFMA October 31, 2019
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