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Guidance for understanding and communicating about the price of health care.
Transformation toward value-based healthcare is reshaping the delivery of care, patient expectations, and payment structures.
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The Structure of Value
Despite the divergent paths many hospital and health systems have taken in their quests for value, their experiences may provide valuable lessons learned to other providers.
By Rich Daly
Expanding on thoughts in his January 2014 column in hfm Magazine, HFMA President and CEO Joe Fifer shares his thoughts on providers, patients, and payers taking ownership of the price transparency issue.
Developing an Exchange Strategy
Healthcare finance leaders should understand the potential effects of the health insurance exchanges on their organizations and devise a game plan for participating.
By Andrew S. Cohen, Charles Kim, Jason O'Riordan, James J. Pizzo
Assessing Health Plan Ownership
Healthcare providers have unprecedented opportunities today to own and operate health plans, but they need to understand the full ramifications of such a strategy.
By Katherine M. Eyestone, Keith D. Moore, Dean C. Coddington
Web Extra: Read an extended version of this article.
Web Extra: Read an extended version of this article.
Medicare Bundled Payment: What is it Worth to You?
Bundled payment can represent a tremendous strategic opportunity for a hospital and can result in financial benefits if an organization understands where to best target its cost-reduction efforts.
By John Harris, Idette Elizondo, Andrew Isdaner
Partnering with Payers? Key Lessons to Keep in Mind
Entering into risk-sharing arrangements with payers can be a beneficial strategy for healthcare providers that follow the example of successful payer-provider partnerships
By Bill Eggbeer, Kevin Sears, Kenneth Homer
The Return of Narrow Provider Networks Under Reform
Providers are most likely to benefit from participating in narrow networks if they work with the payers to create the benefit design and physician incentives needed to support high-value care.
By Lola Butcher
Telehealth: A Hidden Revenue Source?
Better outcomes and new revenue streams mean hospital CFOs are increasingly excited about the opportunities presented by Telehealth.
A New Imperative for Patient Relationship Management
Fundamental shifts around payment and patient engagement are compelling healthcare organizations to embrace lessons from retail to create better patient relationships.
By Cathy Dougherty, Steve Levin
CMS Prevents Changes to Medicare Resident Caps
Medicare’s cap on funding for graduate medical education (GME) means that hospitals will receive no GME payments for residents above the number of residents they trained in 1996.
By Ronald S. Connelly
From the Chair
Change Is Here to Stay
By adopting HFMA’s new Patient Financial Communications Best Practices, hospitals and health systems can ensure that patients have access to the information and assistance they need
By Steven P. Rose, FHFMA, CPA
From the President
Making Price Transparency Happen
Patients need to know what their cost of care and financial responsibilities will be. It’s time for the healthcare industry to determine how best to meet that need.
By Joseph J. Fifer, FHFMA, CPA
From the Editor
Redesigning Health Care
Today’s redesign of the U.S. healthcare system pursues a goal advanced by Buckminster Fuller: to introduce structures that correspond so well with human needs that they are readily embraced.
By Robert Fromberg, Editor-in-Chief
Eye on Washington
Nov. 30 Has Passed - So Now What?
The ACA will benefit people who have been historically shut out of affordable coverage, but it is not likely to benefit everyone in the individual or small-group market.
By Gail R. Wilensky
Exchange Dynamics Will Further the Move to Value
New dynamics emerging on the health insurance exchanges will pressure provider organizations to reconsider their value proposition.
By James H. Landman
Value Creation Strategies for Health Care
Overuse in health care can be addressed by including patient preference in healthcare decisions, calculating value creation based on population health, and using payment incentives to promote value.
By William B. Weeks, James N. Weinstein
Assessing Your Board's Risk Tolerance
Establishing and understanding thwe risk tolerance of an organization's investment leadership body are critical to avoid investment losses that can negatively affect an organization's mission.
By William F. Jarvis
5 Ways To...
5 Ways to Flip Care Delivery
New models of patient care are needed to achieve dramatic improvements in quality, cost, and patient experience.
By Maggie Van Dyke
Analytics for Assessing Partner Fit
Organizations contemplating an affiliation should perform objective analyses to evaluate potential partner risks.
By Jeff Sommer, Susan Stowell, Melissa Lin
Member Spotlight: Running Man
Publication Date: Wednesday, January 01, 2014
Tom Myers, chief strategy officer, The SSI Group, discusses the shifting payment environment and how it affects providers' patient access and claims management processes.
Jeff Chester, senior vice president and chief revenue officer at Availity, shares his thoughts on "Revenue Cycle 2.0" and how to best meet its challenges.
Mitch Morris, vice chair and global leader, healthcare, Deloitte, and Michael O'Rourke, senior vice president and chief information officer, Catholic Health Initiatives (CHI), share perspectives on the need for transformational IT in health care today.
Brian Kueppers, founder and CEO, Apex, discusses the importance of a robust patient payment strategy in boosting organization revenue and enhancing patient satisfaction.
Brian Grazzini, CFO, HealthPort, describes the importance of efficient and compliant information exchange and audit management in helping HIM staff spend less time on paperwork and more on mission-critical projects.
Cindy Matthews, executive vice president, Community Hospital Corporation, discusses how rural and community hospitals can use collaborative partnering to position for success through tough market conditions.
Rick Heise, senior vice president, revenue cycle, at Cerner Corporation, discusses the importance of integrating clinical and financial data to excel in health care’s changing payment environment.
Russ Graney, founder and CEO for Aidin, and John Laursen, head of business development for Aidin, share insights on how to improve care transitions between acute and post-acute care settings and incentivize high-quality patient outcomes.
Scott Elston, strategic accounts manager, GE Healthcare Services, describes how substantial cost reduction in health care requires rethinking business strategy and asset use.
Robert Williams, MD, director, Deloitte Consulting LLP, and Arielle Freiberger, product strategist, ConvergeHEALTH by Deloitte, explain how sophisticated retrospective, real-time, and predictive data analytics can inform decision making to reduce costs and improve care.
Stuart Hanson, director of business development (healthcare solutions) at Citi Retail Services, discusses how improving the payment experience can benefit consumers and healthcare providers.
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