One health system finds ‘millions’ of reasons to audit value-based payments
A health system identified millions of dollars in underpayments that it should have received as part of two value-based payment arrangements in recent years.
Social determinants of health: Pushing the boundaries of healthcare
Addressing the social determinants of health is vital to improving health outcomes, but meaningful improvement requires new levels of collaboration.
Addressing the largest area of healthcare waste requires plans and providers to collaborate
Plans and providers should work together to systematically catalog the biggest administrative complexities responsible for unnecessary healthcare spending and develop a standardized approach to reduce or eliminate them.
Information imperatives for successful payer-provider collaboration
A roundtable of payer and provider leaders examines the importance of transparent communication, relationship-building and robust data sharing amid the transition to value-based care.
The value journey, disrupted
By placing consumers at the center of their business models, new competitors have redrawn the roadmap to value. Health systems that fail to realign themselves around consumer needs will find their journey to value not only disrupted but also headed down the wrong path.
How to present data to physicians to obtain their buy-in for a BCPI-A initiative
Healthcare administers should take four actions when presenting data to physicians to elicit their support for a initiative under the Bundled Payments for Care Improvement Advanced model.
Why we need a ‘big tent’ approach to healthcare integration
Integration: The definition of healthcare integration should be expanded to encompass many different players performing a broad array of services, with a diversity of business models, to deliver value top diverse populations.
Analysis: CMS final discharge planning rule
A review of the final rule and suggestions for related HFMA resources.
Collaboration between the CFO and supply chain management is vital to achieving value-based care
The CFO and supply chain management can support value-based care by collaborating on issues such as implementing robust data analytics.
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.