Cover Story


Today's Trends in Capital Financing

Funding for capital projects is readily available to health systems of all sizes in 2013, but providers should conduct risk analyses before moving forward.
By Gerry A. Means, Marcelo L. Olarte




hfm Q&A

Donald M. Berwick, MD: On Transitioning to Value-Based Health Care

Former CMS administrator Don Berwick, MD, discusses the challenges of changing the healthcare business model as we stand on the threshold of a value-based delivery system.


12 Strategies for Managing Capital Projects

Program management is a tool that can help healthcare leaders better define and shape new construction or renovation projects and reduce costs.
By Richard L. Stoudt, Jr.


A New Tool for System Building 

Hybrid deals are enabling unlikely partners to come together in developing strategies for care delivery and population management.
By Bryan Cali, Casey Quinn


How the Choice of Issuing Authority Affects Hospital Debt Financing Costs

Research reveals how hospitals' choice of bond-issuing authority affects their debt financing costs.
By Caryl E. Carpenter, Patrick M. Bernet


Funding Alternatives in EHR Adoption: Beyond HITECH Incentives and Traditional Approaches

When traditional funding sources for EHR implementations fall short, healthcare finance leaders can still turn to alternative sources of funding for these critically important undertakings.

By Tiankai Wang, Yangmei Wang, Sue Biedermann

Web Extra: The American Taxpayer Relief Act of 2012 extended the 50 percent bonus depreciation for qualified property placed in service from Jan. 1, 2013, through Dec. 31, 2013.

Financing Strategic Healthcare Facilities: The Growing Attraction of Alternative Capital

When considering options for financing strategic facilities, community health systems have less reason today than they did in the past to bypass third-party capital in favor of tax-exempt bonding.
By Daniel K. Zismer, James Fox, Paul Torgerson

Web Extra:When facilities are financed with tax-exempt debt, the borrower is subject to an array of restrictions and compliance requirements.  

Web Extra:Third-party capital applied to strategic facilities situated on land owned and controlled by a health system raises some control issues that the health system should consider.  

Determining the Right Level for Your IT Security Investment

A rural medical center facing threats of data breaches discovered that hospital IT security investments go beyond just dollars and cents.
By Don Claunch, Mac McMillan


Developing a Consumer Pricing Strategy

As consumers take on more cost responsibilities for their own health care, providers should adopt a more retail-oriented approach to positioning and pricing strategies to stay viable.

By Arthur Sturm, Frank Tiedermann  

Focus Areas



What CFOs Should Know Before Venturing into the Cloud

Hospitals should take five steps in assessing the value of cloud computing—and determining the right approach.
By Janakan Rajendran



Conversations with Your Actuary: Getting to the Right Number

Knowing the full range of key topics that should be discussed with an actuary can help guarantee recognition of an organization's insurance program and better manage its liability.
By Richard Frese  



From the Chair

Keep Building Inukshuks

Healthcare finance leaders should continue to build the tools and provide the guidance that will assist others in their path toward a value- based healthcare system.
By Ralph Lawson, FHFMA, CPA


From the President

Communicating Value in Capital Investment

Amid the changes in the ways they make capital investments,providers should take extra steps to determine and communicate the value to be derived from investments in IT and in physician integration.

By Joseph Fifer, FHFMA, CPA


From the Editor

Simply Complex

Don Berwick is optimistic that as long as all parties share a clear vision of a seamless, coordinated, patient-centered, and waste-free healthcare system, that goal is within reach.

By Robert Fromberg - Editor-in-Chief


Eye on Washington

India’s Decision on Gleevec®: Implications for the Future

The Indian Supreme Court’s rejection of Novartis’ request for a second patent for its cancer drug Gleevec could have future implications for the U.S. healthcare system.

By Gail R. Wilensky


Inside IT

How Providers Can Proceed with Electronic Remittance

The healthcare industry is making progress toward eliminating paper from the remittance process, but more work is needed.

By Tom Dean


Healthcare Value

‘Value Combos’ for Health Care

A new set of factors is driving consolidation activity among healthcare organizations.
By James H. Landman


Healthcare Reform

The Urgent Need to Create Healthcare Value

To improve healthcare value, we need bold leadership that relies on analytics and evidence to define options for patient care, enlists patients in their care management and decision making, and refuses to harm patients in the interest of corporate profitability.

By William B. Weeks, Eric B. Wadsworth, Stephen S. Rauh, James N. Weinstein


Capital Finance

Rethinking Asset Allocation

Healthcare organizations should consider diversifying their portfolios to maintain their purchasing power by adopting an endowment management model.
By William F. Jarvis


5 Ways To...

5 Ways to Better Manage Risk Under Reform

Learn how healthcare organizations can best approach the need to manage population health, develop value-based contracting strategies, and assume risk in an environment of reform.
By Jeni Williams


Data Trends

Harnessing the Financial Power of Primary Care Physicians

There is growing consensus that primary care physicians, providing best-practice care, can dramatically lower healthcare costs through organizations such as patient-centered medical homes.
By Steve Hyde, Mike Fleischman, Eric Shell



Member Spotlight: Scaling New Heights


Publication Date: Wednesday, May 01, 2013