Payment Reimbursement and Managed Care

March 9-13: HIMSS is among the first wave of cancellations to hit upcoming healthcare finance events

A complete listing of healthcare finance-related hearings, conferences, webinars, public forums and deadlines for the week of March 9.

Rich Daly April 1, 2020

Azar warns about hospital overcrowding if the public overreacts to the coronavirus

People could swamp hospitals if they overreact to the novel coronavirus, the senior federal healthcare official warned Congress this week.

Rich Daly April 1, 2020

Survey: Providers have work to do on the journey to value

An HFMA survey sponsored by GHX found that the more revenue a healthcare organization has at risk in value-based contracts, the greater its capabilities for managing risk.

Eric C. Reese, PhD April 1, 2020

How to Succeed in the BPCI-A Program: Transforming Care Across the Continuum

A strategy-focused article about the importance of robust care coordination and management for successful participation in alternative advanced payment models. Includes information from a recent meeting of HFMA’s Value-Based Healthcare Innovation Council (VBHIC).

HFMA March 31, 2020

Eliminating cost as a barrier to healthcare

An innovative financial services company talks about how it addresses patient payment pain points, offering patients interest-free payment arrangements without any fees and helping healthcare organizations improve self-pay collections without increasing domestic spend.

HFMA March 31, 2020

2020 will see healthcare policy mired in inaction

Political polarization has posed a barrier to Congressional action in important areas of concern in healthcare, and these areas will likely not be addressed until after the 2020 presidential election.

Ken Perez March 31, 2020

Social distancing due to coronavirus may have unintentional negative effects on seniors aging in place

The unintentional physical and emotional suffering social distancing may cause at risk seniors who are sheltering in place, will also increase the total cost of care, putting further COVID-19-related pressure on participants in alternative payment models.

Chad Mulvany, FHFMA March 24, 2020

New report: Patients and insurance companies in the United States pay higher prices for almost everything healthcare-related

Healthcare providers are likely to experience increased scrutiny and pressure to lower healthcare costs in 2020. To help its members successfully navigate this new environment, HFMA is hosting its first Financial Sustainability Summit April 16-17 in Denver (hfma.org/events).

Chad Mulvany, FHFMA March 16, 2020

How healthcare providers can avoid being at a disadvantage when negotiating risk contracts

Stratifying patients by risk helps finance leaders understand the cost implication differentials of shifts in utilization, giving their organizations a more solid footing in risk-based contract negotiations.

Daniel J. Marino March 16, 2020

How to achieve best-in-class capability for value-based risk contracting

Health systems embarking on value-based contracting should give attention to three areas: understanding market profit pools, acknowledging inherent challenges in the health plan market, and developing the key elements that are essential for success.

Richard Weil, PhD March 12, 2020
googletag.cmd.push( function () { googletag.display( 'hfma-gpt-leaderboard' ); } );