Payment Reimbursement and Managed Care

Navigating toward successful contract negotiations with health plans

A group of healthcare leaders discuss various tactics they are using to negotiate better rates with payers and ensure payers’ commitment to accurate, timely payment.

HFMA May 1, 2024

The Payvider Movement Is Here.

This white paper examines how becoming a payvider drives additional revenue as well as strategic value.

HFMA April 1, 2024

BESLER provides thorough Transfer DRG revenue recovery services

Hospitals require clear and simple paths through the challenges posed by changing regulations so they can spend more time and dollars focusing on enhancing patient care.

HFMA April 1, 2024

The importance of digital transformation in a fraudulent environment

In this recently conducted survey, more than 85% of responding hospital financial executives said they are somewhat concerned (65.96%) or very concerned (19.15%) about potential AI-influenced fraud, including account takeovers and eventually payment fraud.

HFMA February 29, 2024

How digital patient engagement solutions can help healthcare organizations improve their existing revenue cycle

This roundtable features various healthcare professionals who breakdown what digital patient engagement solutions are being implemented and how this not only empowers patients, but also helps organizations looking to improve their existing revenue cycle.

HFMA February 29, 2024

Healthcare Finance Trends for 2024

Download this eBook to see details of the 10 financial trends that will shape 2024 for hospitals and health systems across the country.

HFMA February 28, 2024

Most healthcare organizations will embrace two-sided value-based care models in 2024, but many do not have clearly defined protocols to assess new opportunities

Read this article for various lessons and questions to consider before entering a value-based care contract.

HFMA January 30, 2024

Using analytics effectively to drive margin improvement

Participants of an HFMA Executive Roundtable held June 27 discuss how healthcare providers are taking steps to encourage data sharing among units and create a single source of truth for operational and patient data.

HFMA December 12, 2023

RemitConnect® helps healthcare organizations automate manual posting and reconciliation processes

This HFMA Peer Review Spotlight explores the benefits of CommerceHealthcare's RemitConnect solution in complementing a healthcare organization's existing patient accounting or practice management system.

HFMA December 11, 2023

Denials Management Research Report

HFMA, with sponsorship from Waystar, surveyed 415 healthcare finance and revenue cycle executives to understand how denials are affecting their revenue cycle operations.

HFMA June 22, 2023
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