Cover Story

HFM_April_CoverThe Transition to Emerging Revenue Models

Planning a successful transition from fee-for-service to new revenue models may be the greatest impending challenge for finance executives of hospitals and health systems.

By John H. Harris, Rashi Hemnani

Web Extra: Hospitals and health systems contemplating adoption of value-based payment models should consider the factors supporting such a strategy.

 


hfm Q & A

Bob Kocher: On Improving Transparency, Building Value, and Reaping the Benefits of IT

In a recent conversation with hfm, former Obama administration healthcare adviser Bob Kocher, MD, said we are witnessing a revolution in the ability to understand value, the availability of data, and the development of tools to make sense of the data. Now it's up to us to share those data more effectively with patients. 


Features

Financial Planning on a Comprehensive Scale

Making the necessary investments for comprehensive care management can support more cost-effective and efficient care delivery for multiple populations across the continuum of care.

By Simita Mishra

 

 Making Post-Acute Care Assets Viable: A System's Approach to Continuing Care

In 14 months, leaders at Spectrum Health turned around their lagging post-acute care businesses and launched a comprehensive, continuing care network.

By Jeffrey S. Lemon, Larry Oberst, Kathleen Griffin

Web Extra: View a sample dashboard used by Spectrum Health Continuing Care to monitor quality and safety in its post-acute assets.

Insurance Market Reform: The Grand Experiment

Insurance market reforms and revenue provisions of the Affordable Care Act intended to support expansion of healthcare coverage to the uninsured could have unintended consequences.

By Chad Mulvany

 

Dual-Eligibile Reform: A Step Toward Population Health Management

By improving care coordination for patients who receive full benefits under both Medicare and Medicaid, the healthcare industry could save up to $20 billion a year while improving quality of care and outcomes.

By Bill Eggbeer, Krista Bowers, Dudley Morris

 

Leveraging Nonemployment to Achieve Hospital-Physician Alignment

Professional services agreements provide a form of close integration that many physicians and hospitals are considering as an employment alternative.

By J. Max Reiboldt, Aimee Greeter


Managing OR  Revenue Under New Payment Models 

Healthcare reform and new payment models are changing the revenue model of the hospital surgery department. At Advocate Lutheran General Hospital, finance leaders are focusing on the new elements of managing surgical services margin —safety, clinical outcomes, and cost control. 

By Jeffry A. Peters, David Young, John White, Cindy Mahal-van Brenk


Focus Areas 

Revenue Cycle

Leveraging Data and Analytics to Generate New Revenue

Successful practices that help leverage revenue cycle data and analytics include starting the collections process early, segmenting accounts,  holding agencies accountable, and using trend data to identify staff training needs.

By Dan Buell

 

Technology

Wooing Patients with Technology

There’s a marketing advantage to providing tools that make it easier for patients to schedule appointments, find out test results, and pay for their care. So why aren’t more hospitals and health systems using these tools?

By Michael Myers


Columns

From the Chair

Leading Coordinated Care

Strong leadership is required to make coordinated care effective and create better results for patients.

By Ralph Lawson, FHFMA, CPA

 

From the President

A Whole New Way of Thinking

Joe Fifer considers how managing across the continuum will require new approaches from providers to make treatment less fragmented.

By Joseph Fifer, FHFMA, CPA

 

From the Editor

What You See in the Distance

Healthcare experts are talking about payment models on the horizon—bundled payment, value-based payment, risk-based contracting, capitation--but few have experience with these models. 

By Robert Fromberg, Editor-in-Chief

 

Business Intelligence

Costs and Benefits of EHRs: A Broader View

A recent survey presents a misleading picture of the value of EHR adoption, especially for primary care practices. 

By Keith D. Moore, Katie Eyestone, Dean Coddington

 

Healthcare Value

Managing Your Medical Directors

There are several important tactics for developing a well-organized, highly productive group of medical directors—directors who help create the value proposition.

By John Byrnes

 

Healthcare Reform

The Impact of the Sequester on Health Care

The federal budget sequester could result in an estimated $0.9 million reduction in Medicare payment for the average hospital, which could in turn lead to layoffs of approximately 20 employees per hospital.

By Ken Perez

 

5 Ways To...

5 Ways to Reduce Noise Levels in Patient Care Areas

Learn five ways Phoenix Children's Hospital reduced noise levels for its youngest patients.

By Deb Green, Brent Lang

 

Data Trends

The Data Security Implications of 'Meaningful Use'

 

Etcetera

Member Spotlight: Calling the Shots

Publication Date: Monday, April 01, 2013