Providers explore new territory with health plan ownership
Health systems are showing renewed interest in forming provider-sponsored health plans for a number of reasons, including rising enrollment in Medicare Advantage plans and discontent with payer-provider partnerships.
What to know before rolling out a PSHP
Healthcare organizations that are launching a provider-sponsored health plan should consider four recommendations.
Ontario Systems: Helping Healthcare Organizations Realize the Benefits of an Accountable Collections Team
Steve Scibetta, vice president and general manager at Ontario Systems, offers strategies for optimizing the revenue cycle, including employing supportive accounts receivable technology and building an accountable collections team.
BLS|Revecore: Technology-Driven Underpayment Review Services
In this article, BLS|Revecore talks about how its underpayment review technology and deep industry expertise help organizations collect dollars that would otherwise go unrecovered.
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.
Supporters of releasing privately negotiated health plan rates dominate public comments
Supporters of a proposal for hospitals to release their health plan-negotiated rates, so far, have dominated comments on it to CMS.
Analysis: How a union’s plan could foreshadow changes in maternity care nationwide
HFMA’s Chad Mulvany reviews why he expects more employers to follow the lead of Local 32BJ’s and state Medicaid programs and implement both episodic payment models for pregnancy and non-payment for elective, pre-term C-sections.
Analysis: Proposed negotiated-rate posting requirements from the OPPS rule
HFMA's Chad Mulvany offers insight into the major issues associated with CMS’s proposed new requirement for hospitals to post negotiated rates.
Strategic Financial Planning Summer 2019 Issue
Read the Summer 2019 issue of Strategic Financial Planning.
University of Rochester: Using telemedicine to reach more patients with Parkinson’s disease
An academic medical center’s efforts to bring telemedicine to patients with Parkinson’s disease has reduced costs and improved outcomes.