Quality and Cost Reporting

Readmission Rates: Not a Sound Quality Reporting Indicator

Rose Rohloff describes how healthcare organizations must track the right data to determine whether reduced readmissions truly mean an increase in quality.

Rose M. Rohloff March 24, 2017

Message to Providers: Expect More Pricing Scrutiny

Healthcare finance leaders should review their organizations’ cost structure to ensure that their healthcare spending consistently adds value to patient care.

Jeff Helton,  PHD, FHFMA, CMA, CFE January 10, 2017

Ask the Experts: Hospital Financial Statistics

What is the average amount of time to be used to calculate accounts receivable (A/R) days and days cash-on-hand?

HFMA May 12, 2016

Requests for Health Information on the Rise

Healthcare reform, value-based payment, and increasing audit scrutiny make it increasingly important that hospitals improve their data sharing capabilities.

HFMA May 12, 2016

Using Audits to Improve Compliance, Cut Future Audit Risk

Several steps can help hospitals and health systems leverage audits and their results to increase compliance and reduce financial risks from future audits.

Dawn Crump May 12, 2016

How Minnesota Safety Net Providers Found Success in a Medicaid Alternative Payment Model

A combination of preparation; using data to stratify patients by risk category; and integrating primary care, behavioral health, and social services is helping Minnesota safety net providers succeed in a Medicaid accountable care initiative.

Andis Robeznieks April 7, 2016

Finding Success in the Physician Feedback Program/Value-Based Modifier

By taking certain steps, physician practices can make the most of CMS’s quality outcome feedback and payment program.

Andis Robeznieks February 11, 2016

How Accurate Mortality Risk Measurement Improves Quality and Value

Keeping risk-adjusted mortality rates low is an essential step when pursuing risk-based payment arrangements, says Brett Senor, MD.

Kathleen B. Vega August 24, 2015

HFMA Executive Survey: Value-Based Payment Readiness

HFMA Executive Survey: Value-Based Payment Readiness explores ways hospitals are readying their value-driving capabilities and determining ROI of efforts in an environment where incentives increasingly are focused on improving quality and reducing costs of care delivery for patient populations.

HFMA May 18, 2015

Accounting for Non-Performance-Related Variation in Shared Savings Contracts

Variation between targeted and actual PMPM costs can be due to numerous factors, including many that have nothing to do with the quality or cost of care provided to ACO members.

Karen Wagner January 22, 2015
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