Payment Reimbursement and Managed Care

Allocating capital to medical technology in the age of value-based payment

As value-based payment and risk-bearing contracts become more prevalent, hospital leaders will be incentivized to incorporate methods that provide increased transparency and evidence into whether a technology improves patient outcomes at the lowest possible cost of care.

Terrance D. Hayslett October 17, 2019

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.

Chad Mulvany, FHFMA October 16, 2019

Provider alignment to get a boost under anti-kickback, Stark proposals: attorney

Provider initiatives to better align under value-based payment models would get a boost from proposed Stark and anti-kickback law enforcement changes.

Rich Daly October 15, 2019

Cup of Joe: Matt Eyles, CEO of AHIP

America's Health Insurance Plan President and CEO Matt Eyles discusses how health plans view price transparency and other issues facing the industry.

Erika Grotto October 15, 2019

Special Episode: CMS transparency effort misses the mark

On the day that public comments were due to CMS on its proposed rule that would require the controversial public release of rates hospitals negotiated with health plans, Joe Fifer, president and CEO of HFMA, and Chad Mulvany, director of health finance policy and analysis for HFMA, preview their comments to CMS. Learn about the promise and peril of the approach CMS is taking to this key transparency issue.

Erika Grotto October 15, 2019

Kaiser ramps up SDOH spending, but a demonstrable ROI is likely ‘years’ away

Kaiser Permanente is directing a growing share of its $2.8 billion community benefit spending to address the social determinants of health.

Rich Daly October 14, 2019

Oct. 13-18: Multiple national gatherings among key upcoming healthcare events

Key events include an HFMA webinar, national healthcare provider meetings and a House hearing on healthcare affordability.

Rich Daly October 14, 2019

Don’t let infections hurt your bottom line

Finance leaders can ensure their organizations have the appropriate resources to combat healthcare-associated infections, said Susan Bleasdale, MD, of UI Health.

Laura Ramos Hegwer October 13, 2019

HHS proposes 16 Stark, anti-kickback changes

HHS has proposed a range of rule changes to anti-fraud laws that providers say have blocked value-based payment arrangements.

Rich Daly October 11, 2019

How to get a handle on Medicare bad debt

Medicare bad debt is a significant source of revenue leakage for hospitals and often is not adequately addressed.

Jonathan Wiik October 10, 2019
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