Managing the ACA’s Nondiscrimination Provisions
The ACA prohibits discrimination in health programs or activities that receive federal financial assistance. Healthcare providers face the challenges of preventing language barriers that may impact certain patients based on race, as well as current litigation on gender identify.
Electronic Claim Processing Can Save Millions of Work Hours
If providers fully adopt automated processes for claim transactions, a minimum of 1.1 million hours of administrative work could be saved per business week each year, according to a 2016 CAQH study.
Ask the Experts: Developing a Bundled Payment Team
Who are the main players within finance and other departments who are typically involved in developing bundled payments?
Tackling Preservice Pricing Plans
Despite evidence that patient demand for preservice pricing is growing, only 30 percent of patients are being offered pre-treatment cost estimates.
The Cost of Delaying the Move To Value Based Care
Using a calculator tool, healthcare finance leaders can project the costs and benefits of value-based care under different scenarios and make the case for what their organizations have to gain—or lose—by delaying or adopting value-based strategies.
Running the Rapids of Today’s Healthcare Reforms
The possibility of legislation to repeal and replace the Affordable Care Act remains, despite the recent setback, so healthcare organizations should be prepared for the changes it might bring, including reduced Medicaid payment and increased charity care and bad debt.
Managing Transitional and Chronic Care Profitably: A Guide for Hospital-Owned Physician Practices
CMS offers an attractive incentive for healthcare organizations that participate in transitional care management and chronic care management programs.
Experiments with Alternative Payment Models
HFMA President and CEO Joseph J. Fifer, FHFMA, CPA, talks about how to make the most out of experiments with alternative payment models.
Video: The Cost of Care: ACOs, Medicaid, and Value-Based Care
Ken Perez, vice president of healthcare policy and Omnicell, provides insight into the future of ACOs, Medicaid, and value-based care.
Augmenting Price Transparency With New Strategies
Taking the right approach to designing healthcare benefits and provider networks could enhance price transparency in a way that allows healthcare consumers to become smarter shoppers.