Operations Management

Insurers, Policymakers Target ED Use Reduction

Insurance executives and governors are taking new steps to reduce inappropriate use of emergency departments by plan enrollees.

Rich Daly May 6, 2019

CMS Report Reveals Interesting Statistics on Provider Participation in Quality Payment Program

CMS inaugural report: Most clinicians avoid a negative payment adjustment under MIPS.

Chad Mulvany, FHFMA May 6, 2019

UVM Health Network: Building an Industry-Leading Supply Chain

This case study tells how one healthcare organization has used data monetization strategies to optimize its supply chain operations.

HFMA February 26, 2019

UPMC: Expanding Organization Reach via Telemedicine and Virtual Care

This case study shows how one integrated delivery system has effectively leveraged innovation technology and data governance in the area of telemedicine to monetize its data assets.

HFMA February 26, 2019

Allina Health: Reducing Variations in Clinical Care

This case study shows how one health system used its data assets to identify opportunities for reducing variations in clinical care.

HFMA February 26, 2019

Telehealth Use Among Medicare Patients Limited but Growing

Growth in telehealth use among Medicare beneficiaries is occurring in patients 85 years and older and living in rural areas.

HFMA February 21, 2019

No-Divert Policy, Strategic Growth Help Erlanger Increase Revenue by $300 Million

A strategic plan that focused on growth and expanding specialty services helped Erlanger Health System improve its balance sheet while maintaining high-quality performance. A pay-for-performance program also increased nurse productivity. 

Laura Ramos Hegwer February 21, 2019

Evaluating Cost-of-Care Progress

Although more time and evidence are needed to prove the efficacy of population-based VBP models, there are other models that may be more appropriate for different populations.

HFMA February 15, 2019

The Hospital’s New Agenda: Pharmacy Cost Savings

Pharmacists who have defined roles focused on effective and efficient use of medications in hospitals are the best-equipped leaders to control rising and unsustainable drug costs. For example, one health system realized a $6 million cost savings through a combination of surveillance technology and empowered, motivated pharmacy leaders.

Karen Kobelski February 15, 2019

When Indirect EHR Communication Drives Up Medical Costs

Indirect communication among primary care team members using EHRs is associated with increased hospital visits and higher medical costs for their patients with diabetes, according to one study. Researchers found that medical costs rose by $223 per patient with diabetes in a six-month period for every increase in one percentage point in indirect communication.

Laura Ramos Hegwer February 15, 2019
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