Health Plan Payment and Reimbursement

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.

HFMA August 31, 2019

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.

HFMA August 31, 2019

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.

HFMA August 31, 2019

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.

Rich Daly August 31, 2019

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.

Chad Mulvany, FHFMA August 28, 2019

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.

Chad Mulvany, FHFMA August 28, 2019

Strategic Financial Planning Summer 2019 Issue

Read the Summer 2019 issue of Strategic Financial Planning.

HFMA August 22, 2019

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.

Ray Dorsey, MD August 21, 2019

Enrollment of large-company workers in high-deductible plans reaches a historic high

The share of covered workers enrolled in high-deductible health plans (HDHPs) at large employers reached 47% in 2019.

Rich Daly August 14, 2019

Provider Risk Readiness Report

The results of a May 2019 HFMA study about risk readiness in which hospital and health system senior financial leaders share insights on their organizations’ risk capabilities and tolerance.

HFMA August 1, 2019
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