Operations Management

OPPS final rule keeps site-neutral payments and 340B cuts, leaves out transparency requirement

The Medicare OPPS final rule will continue 340B and site-neutral payment cuts but leaves out the requirement to post rates negotiated with health plans.

Rich Daly December 6, 2019

How loading luggage can be a healthcare staffing innovation I HFMA

Innovative thinking should create the right connection between a healthcare organization's technological capabilities and its processes.

Jeff Helton,  PHD, FHFMA, CMA, CFE December 4, 2019

For healthcare analytics, systems and culture breed success

Research conducted by HFMA and sponsored by EPSi shows that healthcare organizations are still grappling with technological and cultural issues as they attempt to implement effective analytics programs.

Nick Hut December 4, 2019

Medical costs for diabetes increase 26%

The excess medical cost per person with diabetes grew by 14% from $8,417 to $9,601 in 2017.

HFMA December 3, 2019

Analysis: Taking healthcare to the street is effective for patients and reduces healthcare costs

Healthcare can be more medically effective and cost effective by removing barriers, establishing relationships and engaging patients with interventions that begin where the patient is, including living on the streets.

Katie Gilfillan December 2, 2019

5 areas where hospitals can improve both financial performance and patient care

Data Trends: CMS data in the Medicare Provider Analysis and Review file indicates U.S. hospitals' average loss per admission increased 5% from 2016 to 2018.

Jan Welsh December 2, 2019

If CINs could talk, what would they tell hospitals?

Integration: Clinically integrated networks (CINs) require increased attention if they are to fulfill their full potential for delivering good, cost-effective care.

Keith D. Moore, MCP December 2, 2019

Pursuing innovation in the revenue cycle to transform operations

A roundtable of healthcare revenue cycle leaders discusses the importance of embracing innovation, including new and emerging technologies, to combat shrinking margins and navigate new payment models and the ever-changing regulatory environment.

HFMA December 2, 2019

The price of innovation: 3 steps for managing specialty drug costs

Health plans can help control the cost of specialty drugs by communicating with providers about appropriate treatments, integrating coordination of pharmacy and medical benefits and implementing fixed-price models.

Emad Rizk, MD December 2, 2019

Strategy, technology and tactics for sustainable performance improvement

Results of a recent survey, in which hospital and health system leaders described areas where their organizations have the greatest need for performance improvement, point to four key strategic areas of focus for these leaders.

Kermit Randa, MHA, FACHE November 22, 2019
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