Payment Reimbursement and Managed Care

7 top macro trends impacting providers, insurers and healthcare consumers today

The healthcare industry's shift to a consumerism focus is occurring in parallel with seven significant emerging trends that are affecting providers, insurers and healthcare consumers alike.

Robert A. Dickinson, MBA October 31, 2019

3 components of shared risk executives need to know

Jennifer Carney, vice president, finance and analytics, for Beth Israel Lahey Health Performance Network (BILHPN), describes three basic components of shared-risk contracts.

HFMA October 31, 2019

Opponents of Medicare expansion should focus on pitfalls of proposals

Eye on Washington: Challenges to Medicare expansion and "Medicare for All" proposals should address some of the very real potential pitfalls of the proposal, including their projected price tags.

Rich Daly October 31, 2019

News Watch November 2019: Developments and trends shaping healthcare finance

News Watch: News stories about recent developments and trends shaping healthcare finance in the United States.

Rich Daly October 31, 2019

Amid lagging hospital risk taking, value-based payment advocates try to woo CFOs

Hospital CFOs are seen by others in healthcare as the key to spurring organizations and the industry at large to move from fee for service to risk-based payment models.

Rich Daly October 30, 2019

Vitalware: An all-encompassing, single-platform chargemaster solution

A leading chargemaster company discusses how its technology helps hospitals operate more transparently, price strategically and confidently run a compliant and efficient revenue operation.

HFMA October 30, 2019

Hospital payment cuts fund state public-option plans

States are using hospital rate cuts as a key building block to support a growing number of public-option health plans.

Rich Daly October 25, 2019

How a ‘mini-Optum’ saved $85 million in three years by emphasizing primary care

A Texas clinically integrated network has used a primary care physician-focused approach to lower healthcare spending by $85 million over three years.

Rich Daly October 23, 2019

More Medicaid programs increase hospital payment rates

More states have moved to increase hospitals’ Medicaid rates than to cut them — reversing a pattern from the last fiscal year.

Rich Daly October 22, 2019

Oct. 19-25: CMMI leader to address value-based care executives

Healthcare finance policy events for the week of Oct. 21 include an address from a CMMI executive, HFMA webinars and a deadline for comments on advance beneficiary notices.

Rich Daly October 18, 2019
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