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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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News | Healthcare Business Trends

For 2018, one credit rating agency found not-for-profit hospitals’ revenues increased faster than expenses.

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News | Medicare Payment and Reimbursement

Senate appropriators will vote on funding for the U.S. Department of Health and Human Services, among other key healthcare finance events around the country next week.

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News | Transparency

Supporters of a proposal for hospitals to release their health plan-negotiated rates, so far, have dominated comments on it to CMS.

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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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Blog | Innovation and Disruption

A review of why Walmart should be on your list of disrupters.

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Podcast | Consumerism

Jim Higgins of Solutionreach shares his thoughts about consumerism in healthcare, and Kenny Scher from sponsor organization Nexera discusses supply chain management. Also: five lessons on starting a provider-sponsored health plan.

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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 | Value-Based Payment

HFMA’s Chad Mulvany reviews why he expects more employers to follow the lead of Local 32BJ’s and state Medicaid programs and implement both episodic payment models for pregnancy and non-payment for elective, pre-term C-sections.

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Blog | Medicaid Payment and Reimbursement

A review of the public charge rule, scheduled to take effect Oct. 15, and how it will impact payments to health system utilization and bottom lines.

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Article | Self-Payment Collection

In this article, Professional Credit discusses how it helps healthcare organizations effectively and positively engage patients throughout their healthcare financial journeys.

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Executive Roundtable | Self-Payment Collection

In this roundtable, several revenue cycle leaders discuss how they are tackling escalating patient responsibility, exploring the value of putting individuals on pathways toward payment that boost satisfaction and revenue.

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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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Blog | Telemedicine

An academic medical center’s efforts to bring telemedicine to patients with Parkinson’s disease has reduced costs and improved outcomes.

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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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