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News | Value-Based Payment

Just 1.9% of net patient revenue for not-for-profit (NFP) hospitals in 2018 came from risk-based payment, according to a credit-rating agency.

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News | Medicare Payment and Reimbursement

The latest proposed mandatory Medicare payment models drew concerns from many providers, including hospitals that cited the potential for adverse financial impacts.

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News | Transparency

In response to concerns hospital advocates have raised about several price and quality transparency initiatives proposed by the Trump administration, one of the administration’s senior healthcare leaders said it will double down on those ef...

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News | Medicare Payment and Reimbursement

Healthcare finance policy events for the week of Sept. 16.

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News | Patient Access

In 2018, 1.9 million fewer people were covered by some type of health insurance, and they were most likely former Medicaid enrollees, according to new federal survey data.

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Blog | Budgeting

A review of the possible implications for alternative payment models and provider payment rates in the wake of the national debt cresting at $1 trillion with a possible recession looming.

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Fact Sheet | Accounting and Financial Reporting

This document provides an overview of the CMS requirement that Medicare/Medicaid crossover balances be recorded as bad debt expense.

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Case Study | Physician Relationships

An academic medical center helps physicians with EHR use by deploying a team of technical trainers to clinic sites for several weeks at a time.

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Blog | Consumerism

Although a recent poll says 8 in 10 Americans support congressional action to stop surprise medical bills, prospects appear dim for legislation to pass.

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How To | Compliance

Healthcare organizations that qualify as HIPAA covered entities should take five steps when developing a compliance program designed to meet their obligation under HIPAA to safeguard patients’ protected health information.

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How To | Compliance

The potential costs of being found noncompliant with HIPAA are too great for a healthcare provider organization not to have in place a compliance program designed to help safeguard patients’ protected health information.

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Trend | Care Process Redesign

Several payer-provider collaborations launched in Massachusetts seek to better manage Medicaid risk by including behavioral health resources, among other services.

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Trend | Care Process Redesign

The dual risk of physician and mental health conditions often compound the cost of care. In fact, people with a combination of medical and behavioral issues have medical costs that are two times higher than the general population.

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Blog | Managed Care

A discussion on the unsustainable growth rate of employer-sponsored health benefits and how industry participants can help them.

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Trend | Payment Trends

Proactive providers are preparing for additional price transparency requirements to ensure they not only comply with government regulations, but also provide patients with enough information to make informed healthcare decisions.

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Trend | Billings and Collection

A recent analysis found that about 59% of patients in 2018 had an average out-of-pocket expense between $501 and $1,000 during a healthcare visit. This was a dramatic increase from 39% in 2017.

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Trend | Charge Capture

In an industry where “no margin means no mission,” revenue integrity is emerging as a tool and an initiative to enhance margin and preserve the mission of health systems.

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How To | Revenue Cycle Technology

Transitioning the revenue cycle process to a digital workforce should include integration of a strategic human workforce plan to manage employee anxiety about job redeployment and attrition.

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Podcast | Electronic Health Records

Jonce Smith of Stoltenberg Consulting discusses best practices to employ when conducting an electronic health record system upgrade. Also: five ways to address physician burnout.

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Trend | Financial Leadership

Finance leaders of traditional healthcare providers may have opportunities to pursue positions with private equity firms, says a CFO with a leading healthcare startup.

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Q&A | Financial Leadership

A rural hospital CFO shares his organization’s capital finance strategies and plans to manage future change.

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Business Profile | Medical Necessity

James Fee, MD, CEO of Enjoin, discusses the importance of holistic clinical documentation to realize success with existing fee-for-service payment models, as well as value-based care and population health initiatives.

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Article | Revenue Cycle

Henry County Health Center, a critical access hospital in Mount Pleasant, Iowa, has earned two MAP Awards and made noticeable strides toward financial transparency.

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Tools & Tips | Finance and Business Strategy

Healthcare organizations that are launching a provider-sponsored health plan should consider four recommendations.

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