Year: 2020

CMS extends comment period for health plan price transparency rule

CMS will accept feedback for an additional two weeks on a proposed rule requiring health plan price transparency.

Rich Daly January 6, 2020

Analysis: How one health system is using food as medicine with great results

HFMA’s Katie Gilfillan discusses how ProMedica, a Toledo, Ohio-based healthcare organization serving communities in 28 states has operated food pharmacies at three of its medical clinics and describes the positive results from the health system's efforts.

Katie Gilfillan, MSW, CHFP January 2, 2020

First Illinois Chapter past president accepts consulting principal role

HFMA First Illinois Chapter’s past president Dan Yunker has accepted a new role in the greater Chicagoland area. Plus, several professional updates on other members.

HFMA January 2, 2020

Auth-DP software helps streamline prior authorizations to reduce denials

A leading revenue cycle technology company talks about how its innovative prior authorization software streamlines the process of checking for, obtaining and following up on prior authorizations, saving organizations millions in avoided denials.

HFMA January 2, 2020

Time Study: Delivering time intelligence to health enterprises

An innovative technology company talks about the various ways healthcare organizations can use its centralized time intelligence platform to get a clear sense of how healthcare providers spend their time at work, using the insights to improve productivity and performance.

HFMA January 2, 2020

Evolving toward engagement: The recent history of patient segmentation

It’s no longer sufficient to classify a patient’s propensity to pay as “red, green or yellow.” To truly optimize collections, health systems should consider intelligent segmentation.

John Talaga January 2, 2020

Payer-provider partnership success stories

Partnering with a health plan has been shown to be an effective strategy for health systems undertaking a value-based payment strategy.

Richard Weil, PhD January 2, 2020

A tailored approach to value-based care product development

To be successful, a value-based-payment initiative must be tailored to the provider organization's market and capabilities.

Richard Weil, PhD January 2, 2020

A closer look at healthcare payment methods

A short description of payment methodologies offers context on the argument about whether fixed fees are preferable to percent-of-charge provisions.

William O. Cleverley, PhD January 2, 2020

Why removing percent-of-charge provisions in managed care contracts won’t address concerns about high hospital charges

Removing percent-of-charge provisions in favor of fixed fees would not remove the factors that drive price increases, nor would it reduce administrative hassles or decrease risk.

William O. Cleverley, PhD January 2, 2020
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