U.S. healthcare system is poised to begin a new phase in partnerships
Healthcare provider organizations should prepare for an emerging new phase in the evolution of healthcare partnerships, characterized by an increasingly diverse array of choices among care sites and settings for consumers, health plans and employers. In responding to the opportunities presented in this new partnership phase, providers should adopt a strategy that applies important lessons learned during the pandemic.
Payvider Survey Summary Report
HFMA, with sponsorship from Guidehouse, surveyed over 100 health system CFOs and finance and managed care executives to understand payvider model trends. The survey indicates that provider organizations are gravitating towards risk-based payment models. Nearly 60% of health systems responding to the survey plan to advance into risk-based Medicare Advantage models this year. Survey respondents…
Healthcare venture investing: How to succeed in a white-hot market
U.S. health systems can best promote cost effectiveness of health through innovation and a commitment to ensuring the ongoing financial sustainability of the healthcare enterprise. Health systems are increasingly turning to venture investing to achieve these goals.
How a health plan is taking primary care to seniors in their homes
Two healthcare leaders describe a new model of geriatric care being developed in Southern California and the Southwest, designed to deliver a full range of primary care services to seniors in their homes. This model may set the stage for the emergence and adoption of this innovative approach to in-home healthcare nationwide. The model is a practical response to a proven demand among seniors for such an approach.
Cost Effectiveness of Health Report, November 2021
The November HFMA’s Cost Effectiveness of Health Report, sponsored by Kaufman Hall, features stories that explore the growing trend toward delivery of healthcare at home, as reflected in CMS’s Acute Hospital Care at Home waiver and a unique senior-care-at-home approach in Southern California that has national implications. The report also includes features that explore leading health systems’ innovative venture investing strategies and the need for more proactive approaches to addressing workforce challenges facing the industry.
When real estate is part of a physician affiliation strategy, ‘renters or owners’ is a key consideration
When health systems consider using real estate as an incentive in a physician affiliation strategy, they must decide early whether to create physician owners or renters. Strategic considerations will differ significantly depending on the path chosen.
Addressing U.S. healthcare system challenges requires a focus on improving health, not just care
If we are to effectively address the huge cost challenges facing the U.S. health system, we must begin to better address the cost effectiveness of health, says Todd Nelson, HFMA’s director of professional practice and partner relationships. And it has to be through a collaborative process involving all stakeholders, he says, including not just hospitals and health systems, physicians and health plans but also patients and their communities, as well as society overall.
Bon Secours Mercy Health’s successful merger provides takeaway lessons learned for other healthcare organizations
Two large Catholic health systems — Bons Secours Health System and Mercy Health — initiated a merger in 2018 as a strategy for delivering more cost-effective care to underserved communities amid continued cost pressures and declining payments. Within three years, by using proactive, strategic and transparent communication as the guiding principle for their merger of equals, the combined organizations were able to far surpass the financial and integration goals they had set for the consolidation.
HFMA’s Fifer, international panelists discuss how to improve investment in health
HFMA President and CEO Joe Fifer participated in an international summit that included a session on bolstering health through appropriate investment strategies.
4 keys to sustaining financial viability in the shift to value
A leading ACO in Texas has found a way to thrive despite systemic factors that can discourage value-based initiatives.