Pricing

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.

Nick Hut February 20, 2018

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.

HFMA January 29, 2018

Price Variation 101

Price variation has been a hot topic in healthcare industry circles but most consumers are unaware that healthcare prices vary. 

Joseph J. Fifer, FHFMA, CPA January 29, 2018

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.

Elizabeth Barker January 25, 2018

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.

Chad Mulvany January 9, 2018

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.

Jeff Helton,  PHD, FHFMA, CMA, CFE January 9, 2018

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.

Lia Winfield, PhD December 5, 2017

Pharmacy Costs: Are You Paying for Value Yet?

Insurers are setting precedents for value-based payment for medications.  

Commentary: Ifrad Islam December 4, 2017

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.

HFMA November 30, 2017

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.

Luis Rivera November 30, 2017
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