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.
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.
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.
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.
2020 Healthcare Corporate Services Report
A survey of provider executives about corporate services spending, expense reduction, and technology optimization trends.
Supreme Court’s decision to wait to hear ACA challenge benefits Republicans
Democrats appear to have a strong advantage over Republicans in having gained public trust regarding healthcare policy, so it may be in Republication's interest to steer clear of discussions of healthcare in the time leading up to the November 2020 election.
“Medicare for All” isn’t equitable for all hospitals
A payment model in which 100% of payments are based on Medicare rates should take into account the inherent disadvantages of such an approach for the large hospitals, including academic medical centers, that provide most Medicare outlier cases.
Not like the others: House Ways and Means surprise bill legislation
Provider friendly House Ways and Means surprise bill draft legislation doesn't rely on a benchmark payment rate like competing versions.
Implications for a CFO-led strategic response to a Medicare-based payment system
If a payment model that bases payment on Medicare rates is adopted, CFOs should prepare for its financial implications by implementing a modified benchmarking system that accounts for outliers.
A single-payer system based on Medicare rates poses inherent challenges
A payment model under which 100% of payments are based on Medicare rates r\aises important questions of how to fund such a plan.