Reimbursement

Why Direct Primary Care Works for Me

Primary care physician Jeffrey Gold, MD, describes why direct primary care is rewarding for him and his patients.

Jeffrey Gold June 2, 2017

UAB’s Patient Navigation Program Saves $19 Million Annually

UAB Health System used a novel care model to reduce hospitalizations, emergency department visits, and intensive care stays for patients with complex cancers.

Laura Ramos Hegwer June 1, 2017

Using New Distribution Models to Prepare for Bundled Payment Models

Hospitals that want to reduce costs as part of their bundled payment strategy should consider sales representative relationship changes.

Janie Gentry Bates June 1, 2017

Value-Based Care Elevates the Role of the Registered Nurse in Primary Care

One way primary care practices can improve their likelihood of success in value-based care initiatives is by streamlining their practices with the help of their registered nurses. 

Michelle McCleerey May 26, 2017

Bundled Payments for Hospitals: Lessons in Collaboration

Donald E. Fry, MD, examines the benefits of bundled payment programs.

Donald E. Fry May 25, 2017

Ask the Experts: Observation Status

How does your facility manage appropriate charging for observation hours, excluding any of the procedure times that are not permitted?

HFMA May 23, 2017

Ask the Experts: Medicaid Billing

How should I bill New York Medicaid for services provided by non-hospital employee clinicians in emergency department settings?

HFMA May 23, 2017

Fishing Lessons

Providers may object when value-based savings accrue to health plans. Although those objections have merit, other factors should be considered when formulating strategy.

Joseph J. Fifer, FHFMA, CPA May 23, 2017

declining self pay admissions could improve U S hospital revenue streams

A review of the data for the period of 2012-14 points to a continuing decline in self pay admissions under the implementation of the Affordable Care Act (ACA), with the percentage of total admissions processed as self pay dropping to

HFMA May 23, 2017

APCs: An Important Primary Care Resource for Value-Based Care

Health systems should look to advanced practice clinicians, including nurse practitioners and physician assistants, as qualified providers who can fill the gaps in primary care resulting from a declining supply of primary care physicians.

David Fairchild, MD, MPH May 23, 2017
googletag.cmd.push( function () { googletag.display( 'hfma-gpt-leaderboard' ); } );