Inpatient market consolidation has led to stable inpatient markets in metro areas I HFMA
After a period of rapid consolidation, U.S. metro inpatient markets are now stable oligopolies, with a small number of competing provider systems selling inpatient services to a small number of health insurers.
Realizing the economic benefits of a merger starts with integrating post-merger operations
After a merger, a healthcare organization needs to take specific steps to ensure that transaction delivers the intended economic benefits.
“Medicare for All” isn’t equitable for all hospitals
A payment model in which 100% of payments are based on Medicare rates should take into account the inherent disadvantages of such an approach for the large hospitals, including academic medical centers, that provide most Medicare outlier cases.
Not like the others: House Ways and Means surprise bill legislation
Provider friendly House Ways and Means surprise bill draft legislation doesn't rely on a benchmark payment rate like competing versions.
Implications for a CFO-led strategic response to a Medicare-based payment system
If a payment model that bases payment on Medicare rates is adopted, CFOs should prepare for its financial implications by implementing a modified benchmarking system that accounts for outliers.
A single-payer system based on Medicare rates poses inherent challenges
A payment model under which 100% of payments are based on Medicare rates r\aises important questions of how to fund such a plan.
Trump administration details hospital spending plans in FY21 proposed budget
The Trump administration signaled its federal healthcare spending priorities in its proposed annual budget, which includes a slew of hospital cuts.
Humana partners with private equity firm to expand its primary care capabilities
Humana employing primary care physicians will help improve financial results for its plans by increasing HCC and Stars scores (increased revenue) and reduce medical expenses by improving care management and using claims data to make referrals to lower-cost providers.
Hard truths about the state of the healthcare industry
HFMA's president and CEO, Joseph Fifer, provides a straightforward assessment of likely changes to come in healthcare in the 2020s and what healthcare executives should do to to prepare.
Novant Health: Shared reading program is a novel way to influence culture
Novant Health in North Carolina uses a shared reading program to engage team members, with books chosen to support either a system initiative or personal development.