Cover Story

Leading Change in a New Era
Four healthcare finance leaders share their strategies for creating a roadmap for change that leads to cost efficiencies and accountability as cornerstones of a new culture.
By Patrick Reilly
Features
From CFO to CEO: Transitioning to the Top Spot
Four CFOs share how they rose to the position of CEO and offer strategies for other CFOs hoping to make the transition.
By Jeni Williams
Value-Based Purchasing: A Preview of Quality Scoring and Incentive Payments
Findings of a recent study suggest that some types of hospitals participating in CMS's Value-Based Purchasing program can expect to perform much better than other types.
By Ed Klein, Paul Shoemaker
A Better Outlook for ACOs?
CMS's final regulations for ACOs make an ACO strategy seem more appealing, but hospitals still will need to perform a careful assessment of their readiness to pursue this strategy.
By John M. Harris, Idette Elizondo, Molly Johnson
Web Extra: 3 Steps to Analyze Your Organization's ACO Opportunity
Bundled Pricing: Overcoming the First Hurdles
Developing a bundled price offering requires careful planning and leads providers and physicians down the road to delivering better care.
By Michael Abrams, Simone Cummings
Web Extra: Physician Scoreboard
A Patient-Focused Model for Cost Reduction
Finance can collaborate with others in their organizations to identify the patients who are cost drivers and find solutions to reduce those costs.
By Richard D. Wagner, Allison O'Connor, Michael A. Moore
Focused Factories: Meeting the Challenges of Payment Reform
Hospitals that are structured as systems of focused factories-providing bundles of care in a variety of service lines-will be better positioned to compete under value-based business models.
By John N. Fink
Web Extra: Learn the Top Five Advantages of a Focused Factory Under Payment Reform
Focus Areas
Integration
Managing the Market
The increasing structural integration among healthcare providers now requires active maintenance of referral relationships and active management of the operating capital formation process.
By Marc D. Halley
Payment
Pre-existing Condition Insurance Plans: Opportunities for Providers
The Pre-existing Condition Insurance Plan offers opportunities for providers to optimize revenues-but not without risks.
By Richard Parker
Web Extra: Spending for PCIP at Federal and State Levels
Columns
From the Chair
Leading Change
Leading change goes beyond merely adapting to it.
By Greg Adams, FHFMA
From the President
Common Challenges
HFMA is fostering an exchange of information between the U.K. and U.S. about quality and cost.
By Richard L. Clarke, DHA, FHFMA
From the Editor
The Destination of Change
Getting people excited about change requires showing them where the change leads.
By Robert Fromberg, Editor-in-Chief
Eye on Washington
Reforming the Delivery System
Last year's Affordable Care Act included some limited delivery system reforms. Now is a good time to review how these reforms are progressing.
By Gail R. Wilensky
Leadership
CFO Skills for Today and Tomorrow
Healthcare CFOs need to replace numbers thinking with vision and strategy.
By Kathy Noland, Mark Madden
Healthcare Value
Are Patients Accountable for Value?
Patients' willingness to seek out appropriate services, maintain a healthy lifestyle and adhere to prescribed treatments will affect the quality of care and should reduce long-term costs of care.
By James H. Landman
Capital Finance
Organizational Debt Levels: Harbinger of Change?
For U.S. healthcare organizations, debt has been increasing steadily for many years, the tide, however, may be turning.
By William F. Jarvis
5 Ways to ...
5 Ways to Retain Revenue Cycle Talent
Learn five strategies for retaining revenue cycle staff.
By Tracey Dudek
Data Trends
Overall Costs for Rural Care Lower Than for Urban Care
Etcetera
Member Spotlight: The Golden Touch