Payvider Survey Summary Report
HFMA, with sponsorship from Guidehouse, surveyed over 100 health system CFOs and finance and managed care executives to understand payvider model trends. The survey indicates that provider organizations are gravitating towards risk-based payment models. Nearly 60% of health systems responding to the survey plan to advance into risk-based Medicare Advantage models this year. Survey respondents…
How to create an employer-friendly healthcare center of excellence
Increasing health expenditures and the pressures of the recent pandemic have contributed to the development of a new type of center of excellence (COE), called the future-state COE, which is designed to better address the needs of large employers. This COE model incorporates value-based contracting and a strong incentive design into a service-line strategy to create employee health programs that benefit employers, patients and providers alike.
A bill to mitigate scheduled Medicare payment cuts of $14 billion is ready to go in Congress
The House of Representatives is set to vote on a bill that would nullify a large share of 2022 Medicare payment cuts.
The economics of a telehealth visit: A time-based study at Penn Medicine
Research into the costs of delivering telehealth versus in-person visits by the Department of Orthopaedics at Penn Medicine sought to answer the health systems’ questions about the long-term economic viability of telemedicine services, and to help inform their conversations with payers about how much they should appropriately be paid for the services.
Exploring opportunities to improve provider-payer data exchange
Revenue cycle leaders share strategies and the benefits for effective data exchange between providers and payers, as well as the challenges in this executive roundtable.
A New Era of Health Consumerism & Flexible Financing
The American healthcare system is experiencing significant shifts, moving past long-standingnorms. Health consumers increasingly want the new point-of-purchase financing options synonymous with today’s retail experience for their healthcare. Hospitals and health systems are turning to flexible financing solutions to meet today’s health consumers wherethey are,helping themplan forthe carethey needwithin theirbudgets.
The pandemic cast a new light on mental health, and telemedicine provided a new avenue to access. How is the industry likely to view mental health and behavioral health in the future?
Dr. Ranga Krishnan of Rush University System for Health discusses the future of mental health payment and practice. He addresses how provider organizations can address workforce shortages by becoming partners in training and by changing the way they provide care to patients. He also talks about improving mental and behavioral healthcare in a value-based payment environment.
Healthcare News of Note: Healthcare insurers owe hospitals billions of dollars in payments and are putting more patients in a bind with retroactive claim denials, says Kaiser Health News
Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Insurers are behind in billions of dollars in payments to hospitals, the strain on clinicians and staff grows amid the pandemic, and CFO duties involve more digital activities and investor relations.
Site-of-care payment issues get highlighted by UnitedHealthcare and MedPAC
A new report issued by a leading health plan is the latest sign that hospitals and health systems can expect payers to ramp up implementation of site-neutral payments.
Why responding to site-neutral payment risk is imperative for hospitals and health systems
As the likelihood of site-neutral payments increases over a range of services, hospitals and health systems must understand which services are most at risk from these changes and determine how quickly they will respond.