Operationalizing value-based primary care: lessons from the field
The primary care physician’s office has a pivotal role to play in efforts of hospitals, payers and other healthcare stakeholders to transition healthcare payment to arrangements that reward providers for the value of the care they provide. However, to successfully execute a value-based primary care model, organizations should be mindful of the all-too-common pitfalls that they may encounter along the way.
Optimizing the revenue cycle by streamlining and automating payment collections
This roundtable features leaders’ insight to help entities evolve in today’s workforce to meet challenges such as regulations and digital adoption.
MedPAC says 2023 hospital payments shouldn’t increase in response to COVID-19
CMS shouldn’t increase Medicare payments to hospitals for the upcoming year beyond the annual update that is based on current law, according to the Medicare Payment Advisory Commission.
Federal funding bill addresses 340B eligibility concerns but not some other points of interest for hospitals
An FY22 appropriations bill allows hospitals to remain in the 340B Drug Pricing Program if their eligibility had been adversely affected by the COVID-19 pandemic.
Healthcare pricing update: 2 experts call for greater regulation
Recent price increases have been slower in healthcare than in the economy at large, but two healthcare economists say the long-term price trends should be addressed through regulation.
Medicare coverage updates include revised criteria for lung cancer screening and a code for a newly approved COVID-19 treatment
CMS in February amended its coverage requirements for lung cancer screening and issued a code for a new COVID-19 treatment.
Healthcare News of Note: Americans living in rural areas face an increased risk of death, in part due to issues with healthcare access, says a new infographic
Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Issues with healthcare access contribute to an increased risk of death for rural residents, many workers struggle to pay for healthcare deductibles, and hospital and physician office markups on certain drugs escalate consumer costs.
CMS’s overhaul of the Direct Contracting program draws praise from supporters of value-based payment
Value-based payment advocates see reason for optimism in CMS’s recent decision on the future of its Direct Contracting model.
David Johnson: Cracks in the foundation, Part 2: Overcoming healthcare’s artificial economics
In normal markets, demand for services at given prices drives supply. Healthcare reverses the equation so demand for services is driven by the supply of healthcare facilities and practitioners, says hfm columnist David Johnson. In this second column in his series examining structural defects of the U.S. healthcare system, Johnson challenges these “artificial economics” and describes how cutting-edge health systems will apply new, more customer-focused economics to become the future market leaders.
Simplifying the revenue cycle while building resilience
“Several senior financial leaders discuss their organizations’ revenue cycle management (RCM) optimization initiatives, focusing on a variety of strategies, including eligibility checks, denials prevention programs and automation.”