How to Get Involved in CAQH CORE’s Work
CAQH CORE currently is forming groups to work on healthcare data standardization. Healthcare finance professionals are a core constituent and CAQH welcomes their participation.
Strategic Financial Planning: Fall 2018
Subscribers can access the Fall 2018 issue of Strategic Financial Planning.
Why Fee-For-Service Remains Prominent
Fee-for-service is still the dominant payment method because of certain economic factors and a traditional industrial mindset that values volume.
5 Keys to Successful Performance Improvement
Bold moves, leadership, and constituent engagement are key to performance improvement initiatives.
3 Actions for Hospital Disaster Preparedness
Hospitals and health systems can take specific actions to continue operations, protect revenue, and limit credit rating downgrades.
Safety Net System Achieves $130M in Fiscal Improvements in 4 Years
Denials management and “keepage” strategies—keeping services within the health system—helped Maricopa Integrated Health Services improve its margins even in the face of a challenging payer mix.
How to Really Know Your Payment Rates
A deep understanding of active contracts, combined with proactive and purposeful performance monitoring and open communication with health plans must be in place to ensure that hospitals are appropriately paid and the incentives available to them are aligned.
New Committee for Patient Safety Will Coordinate National Efforts
As CFOs field more funding requests for patient safety initiatives, they need to be included in initiatives that develop a culture of safety.
Refining the Art and Skill of Juggling
The relationship between patient satisfaction and payment challenges financial leaders to keep both balls in play.
Hospitals Are Using Cost Reduction to Trim Patient Charges
The healthcare industry has undergone a major decrease in average annual charge growth. Hospitals at the lowest end of the charge growth spectrum are using cost reduction to slow the level of charge change.