Cover Story

 

A strong focus on educating consumers about their options for coverage could help hospitals offset the impact of reform on their margins.

By Karen Wagner



hfm Q & A

Chesley B. "Sully" Sullenberger: Making Safety a Core Business Function

Captain Sully Sullenberger speaks with hfm about the business case for patient safety.


Special

10 Revenue Cycle Improvement Ideas from HFMA's MAP Award Winners


Features

Helping Individuals Obtain Health Coverage Under the ACA

A study of California hospitals reveals successful practices for reducing the number of uninsured that could benefit many hospitals and their communities nationwide.

By Anne McLeod, Amber Kemp, Jody Hill-Mischel, Andrew Cohen

Web Extra: Read this web extra to "Helping Individuals Obtain Health Coverage Under the ACA" by Anne McLeod, Amber Kemp, Jody Hill-Mischel, and Andrew Cohen


The New Medicare DSH Payment:What's Baked into the pie - and how It's Sliced  

Medicare’s new method for calculating disproportionate share hospital (DSH) payments reduces DSH payments to all qualifying hospitals—possibly by more than Congress had intended in the ACA.

By Christopher L. Keough, Stephanie A. Webster  

Web Extra: Read this web extra to "The New Medicare DSH Payment: What's Baked into the Pie--and How It's Sliced Dollars" by Christopher Keough and Stephanie Webster

 

Collaborating with Payers to Deliver Value

As healthcare purchasers push for higher quality and lower costs, health plans and providers recognize they can achieve desired outcomes by collaborating to design new payment models and share data. 

By Laura Ramos Hegwer

 

Emerging "Super ACOs" Fill Unique Needs

A health-system-led ACO, or “Super ACO,” has the potential to obtain the patient care improvement and cost-savings benefits seen by many physician-led ACOs without the need for a formal merger.

By David G. Anderson, Neal C. Hogan


Focus Areas

Technology

Imaging Choices Hold Key for Reduced Cost and Improved Quality of Care  

Hospitals and health systems can achieve significant savings by using ultrasound at the point of care in lieu of other imaging approaches in appropriate medical situations.

By Kevin Goodwin, Rodney Hochman


Columns

From the Chair

Making Progress Amid Transition

Even amid the ambiguities created by healthcare reform, providers enjoy a tremendous opportunity to create effciencies and put procedures in place that made them stronger.

By Steven P. Rose, FHFMA,CPA

 

From the President

Think Prices Don't Matter? Think Again.

Providers face an important and inescapable, challenge to improve the pricing structures and practices in the U.S. healthcare industry.

By Joseph J. Fifer, FHFMA,CPA

 

From the Editor

Size and Coordination

Achieving a large, well-orchestrated enterprise that achieves economies of scale, coordinates care, and accepts risk-based contracts requires discipline and planning.

By Robert Fromberg, Editor-in-Chief

 

Eye on Washington

Driving Cost Control

Providers should understand and prepare for the implications and the "Cadillac Tax," an excise tax on high-cost employer-sponsored health coverage, which starts in 2018.

By Chad Mulvany

 

Healthcare Value

Medicare Payment Penalties for Unrelated Readmissions Require Second Look

CMS should reassess its all-cause readmission policy and move toward a policy that meets the intent of the ACA.

By Richard Averill, Norbert Goldfield, John S, Hughes

 

Data Trends

Financial, Operating Measures Provide Basis for Assessing U.S. Hospital Performance

Hospitals have done a commendable job in addressing cost and productivity in recent years.

 

Etcetera

Membership Spotlight: Umpire State

 



Publication Date: Tuesday, October 01, 2013