Healthcare Challenge Roundtable: Making Price Transparency More Effective
Although health plans may need to take the lead on the issue of price transparency because of their unsurpassed access to pricing data, sustainable solutions will involve significant input from stakeholders across the spectrum.
Variations in Healthcare Prices
HFMA President and CEO Joseph J. Fifer, FHFMA, CPA, discusses what consumers know and don't know about variations in healthcare prices.
Price Variation 101
Price variation has been a hot topic in healthcare industry circles but most consumers are unaware that healthcare prices vary.
Newer Health Plan Products Align With Value-Based Care
With the clout to steer the healthcare industry away from a volume-based approach, health plans are implementing innovative payment models.
When Push Becomes Pull: The Next Phase of the Transition to Value
The healthcare industry’s transition to value-based payment will likely continue, driven by physician interest in advanced alternative payment models.
High Discount Health Plans: Right for the Consumer, but What About PFS?
Organizations writing off more and more patient debt may want to explore new avenues for collaboration.
MACRA’s Quality Payment Program in 2018: What Hospitals Need to Know
Hospitals are not exempt from the impacts of the Medicare Access and Chip Reauthorization Act (MACRA), and they therefore should understand the provisions of the recently issued final rule on MACRA’s Quality Payment Program.
Pharmacy Costs: Are You Paying for Value Yet?
Insurers are setting precedents for value-based payment for medications.
Focus on Eliminating Avoidable Readmissions Historical Perspective
A collaboration between a hospital and a skilled nursing facility (SNF) aimed at improving care of the SNF’s residents and preventing avoidable readmissions from the SNF to the hospital offers an important lesson for other such providers.
Two Sides to the APM Coin: Why APMs Work for Some and Not For Others
Integrated delivery systems are at a disadvantage under alternative payment models (APMs), which has hindered the success of these models; redesigning how shared savings are distributed to address this disadvantage may help promote the success of APMs.