Care Management

How to Succeed in the BPCI-A Program: Transforming Care Across the Continuum

A strategy-focused article about the importance of robust care coordination and management for successful participation in alternative advanced payment models. Includes information from a recent meeting of HFMA’s Value-Based Healthcare Innovation Council (VBHIC).

HFMA March 31, 2020

CMS modifies hospital inspection program amid coronavirus pandemic

State and federal inspections of hospitals will focus on locales where the CDC anticipates COVID-19 outbreaks.

Rich Daly March 25, 2020

Why a focus on margin management is critical in a consumer-centric healthcare market

Providers that remain focused on service-by-service approach to care delivery will find themselves out of step with today’s consumer-focused healthcare system.

Eric C. Reese, PhD March 16, 2020

Care management and reduced LOS: How hospital leaders can connect the dots

Emerging care management approaches are focused on coordinating each step in a patient’s care journey, from tracking status at admission to coordinating with community-based providers after patients are discharged.

Lance Robinson March 16, 2020

How healthcare providers can avoid being at a disadvantage when negotiating risk contracts

Stratifying patients by risk helps finance leaders understand the cost implication differentials of shifts in utilization, giving their organizations a more solid footing in risk-based contract negotiations.

Daniel J. Marino March 16, 2020

How Orlando Health stemmed healthcare costs by eliminating unnecessary clinical process variation

An initiative to eliminate unnecessary variation in care processes for six diagnostic groupings enabled Orlando Health to significantly reduce its average length of stay for the diagnoses while realizing a substantial reduction in cost.

Thomas Kelley, MD March 12, 2020

CDC: Hospitals must screen all ED patients for new coronavirus

New guidance from the CDC explains the steps required of hospital emergency departments when treating patients suspected of having COVID-19.

Rich Daly March 11, 2020

Main Line Health improves its bottom line by creating a collaborative culture

A health system's multifaceted performance improvement initiative, which yielded more than $120 million in savings, is exemplified by its approach to improving care processes in its ICUs.

Andrew Norton, MD March 5, 2020

Health system obstacles can prevent the elimination of low-value services

Health system processes — not just physician practice patterns — can create obstacles to eliminating low-value care, value-based payment advocates have found.

Rich Daly January 30, 2020

Analysis: CVS launches oncology program marrying precision medicine with care management

The pairing of precision medicine and care management have the potential to significantly reduce spend and improve patient outcomes.

Chad Mulvany, FHFMA December 19, 2019
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