Payment Reimbursement and Managed Care

A Lannister always pays his medical debts (when offered a reasonable payment plan)

Pattie Kloehn of Healthwide Solutions and Bruce Haupt of ClearBalance describe trends in patient payment plans and detail how UConn Health achieved a 230% ROI on its own patient payment program. Also, five fast facts about revenue integrity.

Erika Grotto May 30, 2019

Bundle up: Developments in BPCI Advanced

Rich Daly interviews Michael Wolford, a senior manager at DHG Healthcare, about the early results of Bundled Payments for Care Improvement Advanced. Also, five reasons why health systems will need advanced cost accounting in a segment sponsored by Strata Decision Technology.

Erika Grotto May 30, 2019

ROI Value Model By ClearBalance

An industry-leading patient financial solutions company discusses how it helps healthcare organizations benchmark their patient payment collections and validate the work of outside vendors.

HFMA May 29, 2019

Assembling the essentials for successful population health management

A high-performing clinical network, and a focus on patients presenting high or emerging risk are two key elements that health systems must have in place to be able to succeed with population health management.

Richard Weil, PhD May 29, 2019

States look to Medicare-based reference pricing as the solution to price variation for employee hospital services

To reduce prices paid for hospital services delivered to their employees, Montana and North Carolina are pursuing reference pricing based on Medicare rates.

Chad Mulvany, FHFMA May 29, 2019

How a Hospital or Health System Can Assess the Risk of Moving to Value-Based Payment

To gain a clearer understanding of the financial impact of transitioning to a value-based model, healthcare executives can learn from the experiences of another health system that has undertaken a similar migration.

Ross Armstrong May 29, 2019

How to refine medical record sharing to mitigate risk and improve productivity

Careful review of medical record sharing costs and responsibilities stated in managed care contracts can reduce providers' expenses and productivity burden during payer reviews and audits.

Greg Ford May 28, 2019

Drivers of healthcare cost growth, and commercial health plans’ responses

Efforts to control the growth of healthcare costs nationwide have focused on reducing variation both in utilization and price.

HFMA May 27, 2019

FTC commissioner: Agency to continue ‘aggressive enforcement’ of hospital deals

A leader of federal antitrust enforcement touted a continuation of “aggressive” enforcement against hospital deals, even as the share of independent hospitals shrank to a historic low.

Rich Daly May 24, 2019

Specialty practices use predictive analytics to enhance value-based care

Specialty physician practices embarking on value-based care initiatives should start by expanding their ability to collect and synchronize data.

Charles Saunders, MD May 24, 2019
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