HFM_Jan_Cover

Cover Story

The Structure of Value

Despite the divergent paths many hospital and health systems have taken in their quests for value, their experiences may provide valuable lessons learned to other providers.

By Rich Daly


From the President's Desk

From the President's Desk: January

Expanding on thoughts in his January 2014 column in hfm Magazine, HFMA President and CEO Joe Fifer shares his thoughts on providers, patients, and payers taking ownership of the price transparency issue.




Features

Developing an Exchange Strategy

Healthcare finance leaders should understand the potential effects of the health insurance exchanges on their organizations and devise a game plan for participating.

By Andrew S. Cohen, Charles Kim, Jason O'Riordan, James J. Pizzo 

Assessing Health Plan Ownership

Healthcare providers have unprecedented opportunities today to own and operate health plans, but they need to understand the full ramifications of such a strategy.

By Katherine M. Eyestone, Keith D. Moore, Dean C. Coddington

Web Extra: Read an extended version of this article.

Medicare Bundled Payment: What is it Worth to You?

Bundled payment can represent a tremendous strategic opportunity for a hospital and can result in financial benefits if an organization understands where to best target its cost-reduction efforts.

By John Harris, Idette Elizondo, Andrew Isdaner 

Partnering with Payers? Key Lessons to Keep in Mind

Entering into risk-sharing arrangements with payers can be a beneficial strategy for healthcare providers that follow the example of successful payer-provider partnerships

By Bill Eggbeer, Kevin Sears, Kenneth Homer 

The Return of Narrow Provider Networks Under Reform

Providers are most likely to benefit from participating in narrow networks if they work with the payers to create the benefit design and physician incentives needed to support high-value care. 

By Lola Butcher 


Advertisement

Telehealth: A Hidden Revenue Source?

Better outcomes and new revenue streams mean hospital CFOs are increasingly excited about the opportunities presented by Telehealth. 


Focus Areas

Revenue Cycle

A New Imperative for Patient Relationship Management

Fundamental shifts around payment and patient engagement are compelling healthcare organizations to embrace lessons from retail to create better patient relationships.

By Cathy Dougherty, Steve Levin

Payment

CMS Prevents Changes to Medicare Resident Caps

Medicare’s cap on funding for graduate medical education (GME) means that hospitals will receive no GME payments for residents above the number of residents they trained in 1996.

By Ronald S. Connelly


Columns

From the Chair

Change Is Here to Stay

By adopting HFMA’s new Patient Financial Communications Best Practices, hospitals and health systems can ensure that patients have access to the information and assistance they need 

By Steven P. Rose, FHFMA, CPA

From the President

Making Price Transparency Happen

Patients need to know what their cost of care and financial responsibilities will be. It’s time for the healthcare industry to determine how best to meet that need.

By Joseph J. Fifer, FHFMA, CPA

From the Editor

Redesigning Health Care

Today’s redesign of the U.S. healthcare system pursues a goal advanced by Buckminster Fuller: to introduce structures that correspond so well with human needs that they are readily embraced.

By Robert Fromberg, Editor-in-Chief

Eye on Washington

Nov. 30 Has Passed - So Now What?

 The ACA will benefit people who have been historically shut out of affordable coverage, but it is not likely to benefit everyone in the individual or small-group market. 

By Gail R. Wilensky

Healthcare Value

Exchange Dynamics Will Further the Move to Value

New dynamics emerging on the health insurance exchanges will pressure provider organizations to reconsider their value proposition.

By James H. Landman

Healthcare Reform

Value Creation Strategies for Health Care

Overuse in health care can be addressed by including patient preference in healthcare decisions, calculating value creation based on population health, and using payment incentives to promote value.

By William B. Weeks, James N. Weinstein

Capital Finance

Assessing Your Board's Risk Tolerance

Establishing and understanding thwe risk tolerance of an organization's investment leadership body are critical to avoid investment losses that can negatively affect an organization's mission. 

By William F. Jarvis

5 Ways To...

5 Ways to Flip Care Delivery

New models of patient care are needed to achieve dramatic improvements in quality, cost, and patient experience. 

By Maggie Van Dyke

Data Trends

Analytics for Assessing Partner Fit

Organizations contemplating an affiliation should perform objective analyses to evaluate potential partner risks.

By Jeff Sommer, Susan Stowell, Melissa Lin

Etcetera

Member Spotlight: Running Man

 

 

Publication Date: Wednesday, January 01, 2014