Finance and Business Strategy

With substantial Medicare payment cuts pending, medical groups call for Congress to act

Payment cuts scheduled for 2022 would amount to a 9.75% reduction in Medicare revenue for medical groups, which are calling on Congress to pass legislation to stop the cuts.

Nick Hut October 14, 2021

Opportunities in the face of crisis: HFMA President and CEO Joe Fifer interviews Sergio Melgar, CFO at UMass Memorial Health

HFMA President and CEO Joe Fifer interviews Sergio Melgar, CFO at UMass Memorial Health, about his history with health systems in peril and what he thinks could come out of pandemic-era changes.

Erika Grotto October 12, 2021

Healthcare M&A activity for Q3 remains low in volume but high in impact, firms report

The number of M&A transactions involving hospitals and health systems remained at historically low levels, but the average revenue involved was far higher than in recent years.

Nick Hut October 11, 2021

Healthcare News of Note: U.S. will be short 3.2 million lower-wage healthcare workers within 5 years, says Mercer

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Shortages of lower-wage healthcare workers, nurses, physicians and mental health staff are expected, PHI security and burnout are of concern to most healthcare professionals, and the pandemic is expected to affect health insurance rates.

Deborah Filipek October 8, 2021

Consumerism and the transition to value are among the trends drawing strategic reactions from healthcare providers, survey finds

A recent survey finds healthcare providers working to ensure their strategic planning incorporates key trends, spurring innovations in care delivery models.

Nick Hut October 8, 2021

The stakes are only growing in efforts to improve the cost effectiveness of health, CMMI’s Elizabeth Fowler says

The head of the Center for Medicare & Medicaid Innovation spoke with an HFMA audience about the importance of efforts at the federal level and beyond to improve the cost effectiveness of health.

Nick Hut October 6, 2021

Revamping prior authorization: How AI and automation could boost care and revenue

Prior authorization is the most time-consuming transaction for medical providers, taking up to an hour to complete manually. Find out how providers and health plans can save up to $417 million annually be automating prior authorizations.

HFMA October 5, 2021

Healthcare News of Note: Average billed charge for complex COVID-19 hospitalizations is more than three times the allowed amount

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: $317,810 is the average charge for a complex COVID-19 hospitalization, the pandemic has had a unique impact on people with disabilities, and transitional clinic care brings posthospitalization benefits for medically complex patients.

Deborah Filipek October 1, 2021

Hospital groups urge changes to Provider Relief Fund distribution and reporting processes

HHS should send out the upcoming Provider Relief Fund distribution as quickly as possible and offer flexibility in the ongoing reporting process, hospital groups said.

Nick Hut September 30, 2021

Autonomous coding, it won’t hurt a bit with CodaMetrix

Coding at hospitals and health systems can take hours each day and can cost up to $7 billion in one year. However, one company encourages its use of artificial intelligence technology to reduce both cost and time of coding.

HFMA September 30, 2021
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