A Statewide Partnership for Reducing Readmissions
In Illinois, major stakeholders are collaborating to reduce the state’s high rate of readmissions, with the goal of achieving upper-quartile performance on readmissions.
By James H. Landman
Web Extra: Read this web extra to “A Statewide Partnership for Reducing Readmissions” by James H. Landman, JD, PhD
Special Section: Chair Profile
Whatever It Takes
A profile of HFMA
Chair Steven P. Rose, FHFMA, CPA, provides insight into his views on leadership
and his vision for HFMA and the healthcare industry as reflected in his theme,
“whatever it takes.”
Michael McGinnis: On Achieving Best Care at Lower Cost
The Institute of Medicine's Dr. Michael McGinnis offers a perspective on the nation's progress in achieving the best health care at lower cost.
Driving Out Waste: A Framework to Enhance Value in Clinical Care
Many providers are seeking to improve the value of care by implementing standardized clinical practice guidelines aimed at reducing variations in care, avoiding complications, and lowering costs.
By David A. Burton
Web Extra: Read this web extra to "Driving Out Waste: A Framework to Enhance Value in Clinical Care" by David A. Burton, MD
Value 101: The Basics of Clinical Transformation
Bon Secours Virginia Health System developed an intensive seven-hour course for finance professionals on value.
By Melinda S. Hancock
Reducing Pharmacy Costs Through Improved Utilization
By identifying unnecessary spend and changing expensive clinical practice patterns, a four-hospital system achieved nearly $2 million in pharmacy cost savings.
By Cinda Bates, Barton S. Richards
4 Strategies for Achieving Reform-Ready IT
Healthcare executives face an escalating demand under healthcare reform to extract the greatest possible value from their organizations’ IT resources.
By Joseph Freudenberger, Larry Schunder, Walter Reid
Closing the ICD-10 Revenue Gap
By improving clinical documentation, successful adoption of ICD-10 can enhance a healthcare organization’s quality scores and revenues.
By Kimberly Janet Carr
5 Strategies for Improving Performance of Academic Medical Centers
Academic medical centers should research and embrace new approaches to financing, operations, and governance to become more cost efficient and profitable in an era of reform.
By Robert M. Valleta, Alicia Harkness
Part A to Part B Rebilling: Understanding the Rules in a Changing Environment
A CMS ruling allows hospitals that have been denied payment for Medicare Part A services to submit claims to Part B for some of these services, but a CMS proposed rule could remove that option.
By Mark Polston
Bringing the Right Players to the Table
Finance and clinical leaders should ensure that the appropriate stakeholders are part of planning the “how” of change.
By Kathleen D. Sandford
Boosting the Bottom Line of Physician Networks
Hospital leaders whose organizations employ physician practices should take specific steps to minimize losses of those practices.
By Greg Mertz
Web Extra: Read this web extra to "Boosting the Bottom Line of Physician Networks" by Greg Mertz, FACMPE
From the Chair
Doing Whatever It Takes
Steve Rose shares some thoughts on his theme for the 2013-2014 year and his chairmanship.
By Steven P. Rose, FHFMA, CPA
From the President
An Exciting Time for Performance Improvement
Joe shares his throughts on performance improvement as part of the DNA of finance professionals
By Joseph J. Fifer
From the Editor
providers take on the challenge of making major improvements to quality and
efficiency, the level of investment will make the difference between modest
change and breakthrough results.
By Robert Fromberg, Editor-in-Chief
Eye on Washington
Catch-22: When Integrated Care Meets Reduced Payment
MedPAC is calling for reduced payment to provider-based physicians for select outpatient services, even as value-based payment demands tighter clinical integration to improve outcomes and efficiency.
By Chad Mulvany
ACOs: A Wolf in Sheep's Clothing?
There are substantial differences between the gatekeepers of early HMOs and patient-centered medical homes —and, more broadly, between ACOs and managed care.
By Keith D. Moore, Katie Eyestone, Dean C. Coddington
Communicating a Value Proposition
organizations are challenged today to find effective ways to communicate their
quality performance to various stakeholders, including employers, health plans,
and their communities.
By John Byrnes
5 Ways To...
CALL TO ACTION: 5 Ways to Develop a Path to Pricing Transparency
A pricing system should be simple to administer and communicate, should help patients take charge of healthcare purchasing decisions, and should gain consumers’ trust as they seek to compare prices.
Hospitals are Controlling Major Costs
Member Spotlight: Raising Rebel
Jeff Rich:Reducing Costs to Patients and the Environment