Contracting

Strategic Financial Planning Fall 2019 Issue

The Strategic Financial Planning newsletter Fall 2019 issue features articles on price transparency, bond underwriters, direct contracting, M&As and business ethics.

HFMA October 7, 2019

3 starter steps for health systems pursuing value-based contracts

A health system's ability to succeed under any of the new Medicare value-based payment programs will depend on how effectively it meets 3 strategic imperatives for effective performance in risk contracts.

Sheila H. Fusé October 2, 2019

Navigant Consulting, Inc.: Hospitals and Health Systems Prepare to Assume More Risk

: This research highlight discusses key takeaways from a May 2019 HFMA study of hospital and health system senior financial executives about their organizations’ interest in and capabilities for assuming risk.

HFMA August 31, 2019

Revenue Cycle Strategist June 2019

HFMA's Revenue Cycle Strategist newsletter June 2019 issue features articles on value-based payment, coding and Medicaid regulations.

HFMA August 22, 2019

Provider Risk Readiness Report

The results of a May 2019 HFMA study about risk readiness in which hospital and health system senior financial leaders share insights on their organizations’ risk capabilities and tolerance.

HFMA 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

Pursuing a Proactive Denials Strategy Helps Resolve Denials and Prevent Recurrence

A look at how one company is partnering with healthcare organizations to use data and technology to address the root causes of long-standing problems, including denials.

HFMA July 1, 2019

Ensuring value-based data sharing complies with HIPAA

Healthcare organizations engaging in value-based contracts may be at greater risk for a breach if patient privacy and HIPAA are not front and center.

Lisa A. Eramo June 17, 2019

Analysis: Local purchasing alliance reduces hospital prices by 20%

As more data on price variability in healthcare becomes available, there will be an increase in activist employers and employer coalitions getting local health systems to lower prices.

Chad Mulvany, FHFMA June 13, 2019

Ask the Experts: Contract performance

My organization recently transitioned to its first Ambulatory Payment Classifications (APC)/DRG-based contract with a commercial plan. We are struggling with determining how to monitor the contract’s performance and, in particular, with the primary focus on the APC payment. Are there recommended key performance indicators (KPIs) used to track this performance?  Answer: It is likely that your organization…

HFMA June 11, 2019
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