Payment Reimbursement and Managed Care

New research suggests there’s no need to worry that patient experience surveys lead to low-value healthcare

Findings from a new study may assuage concerns that low-value care is encouraged through the use of patient experience ratings in payment formulas.

Nick Hut June 1, 2021

Weeding out waste: Policy workshop examines how the healthcare industry can finance a better model

By reducing wasteful spending, the U.S. healthcare industry would have an easier time funding some of the changes needed to support whole-person health, industry experts said at a conference on how to optimize healthcare financing.

Nick Hut June 1, 2021

Financial Sustainability Report: March 2021

The March Financial Sustainability Report, sponsored by Kaufman Hall, highlights significant changes in the nature of risk that hospitals and health systems face in the post-pandemic world, and how these organizations’ leaders should respond. Other articles explore key success factors in M&A initiatives and tactics for controlling variation in costs for surgical procedures.

HFMA June 1, 2021

Financial Sustainability Report: April 2021

The April Financial Sustainability Report, sponsored by Kaufman Hall, offers results of a health system’s assessment of its costs to deliver telemedicine services. Other content includes a case study of how a large medical group revamped its approach to compensating its employed physicians, and guidance on how to stem the losses many hospitals incur around referrals for ambulatory services.

HFMA June 1, 2021

Financial Sustainability Report: May 2021

The May Financial Sustainability Report, sponsored by Kaufman Hall, describes a new method for compensating physicians that better accounts for each organization’s unique circumstances. It also includes guidance for finance and clinical leaders on how they can work together effectively while acknowledging their differences, and it examines how payer-provider partnerships are helping organizations keep pace with a transforming healthcare industry.

HFMA June 1, 2021

Financial Sustainability Report: March 2020

The March issue of the Financial Sustainability Report, sponsored by Kaufman Hall, provides insights and guidance for healthcare finance leaders ranging from accessing untapped opportunities for cost savings to using risk stratification to improve the organization’s position in negotiating risk contracts.

HFMA June 1, 2021

News briefs: In a win for hospitals, CMS removes a rate-reporting requirement from the Medicare FY22 IPPS

Recent healthcare finance and policy news included the release of the proposed rule for the FY22 Inpatient Prospective Payment System.

Nick Hut June 1, 2021

New CMS Administrator Chiquita Brooks-LaSure gets ready to tackle surprise billing, rural healthcare and much more

During her Senate confirmation hearing, Brooks-LaSure said strengthening Medicare, Medicaid and the Affordable Care Act to bolster quality and access while lowering costs will be paramount.

Nick Hut May 28, 2021

Democratic congressional leaders ramp up efforts to craft a health insurance public option, generating hospital pushback

Leading Democrats in the House and Senate sent out a request for information to healthcare stakeholders, seeking input as they look to establish a public option for health insurance.

Nick Hut May 26, 2021

Hospitals not adhering to CMS’s cost transparency rule may eventually find their public images tarnished by their noncompliance

Hospitals could lose patients and their good reputations if CMS makes public the names of those noncompliant with the latest price transparency rule.

Shawn Stack May 26, 2021
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