Browse by Topic
More than 40,000 members value HFMA's thought leadership and practical strategies. HFMA is where you need to be.
Get acquainted with the
healthcare finance industry's leading professional association. Find out why our
members rely on HFMA as their go-to source for insight and
Members have many
options for helping them advance their careers. Conferences, seminars,
eLearning, certification, and more -- our education and events will keep you
Connect the dots on today's big issues, explore collaborations, get career-boosting tips, and network with colleagues nationwide at the leading finance conference. Save $100 off the full conference rate when you register by May 8.
Real-time presentations with nationally recognized experts, networking opportunities, and industry solutions—no travel required!
Learn about timely healthcare finance topics and earn CPEs. Most live webinars are free for HFMA members and $99 for non-members. View the latest schedule.
If you're a subscriber to any of our three newsletters, you have access to online education. Learn more or subscribe.
Get the perspectives of leading healthcare finance professionals on today's hottest issues.
Information about leading vendors helps your buying decisions.
Forum members can network during live webinars or access a library of past webinars on topics such as bundled payment, charity care, and ICD-10.
An ever-expanding collection of spreadsheets, policies, job
descriptions, checklists, and more that you can adopt and adapt.
Forum members can submit vexing questions to a panel of experts
using our Ask the Expert service.
Your source for employment solutions.
Find new employment opportunities or
reach out to qualified candidates.
Distinguish yourself as a
leader among your peers and advance your career by earning certification in our
healthcare finance programs.
Get an objective third-party evaluation of products and services used in the healthcare finance workplace.
MAP App is a web-based application that helps organizations improve revenue cycle performance based on industry-standard metrics called MAP Keys.
Find suppliers and products in this comprehensive vendor directory for healthcare finance professionals.
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.
Improve your revenue cycle performance through standard metrics, peer comparison, and successful practices.
Looking ahead into 2014, hospitals face a variety of unknowns that may require major changes in operations.
In particular, it is likely that demands will change and new strategies will be needed in four areas:
As hospitals evolve from a “place” to a “system of community care,” new issues are developing with respect to where physical facilities should be located, what types of facilities should exist in each location, and how distributed facilities should be linked to one another and to the surrounding community.
Strategies must be developed to manage and economically coordinate multiple locations that complement each another and that all support the larger purpose of the “hospital system.” Management of capital funds must be balanced for this purpose.
New care networks will be required to staff the distributed facilities and meet community expectations. Issues will arise with respect to which types of providers—and which specific providers—will be best suited to each location, and how all care activities will be networked together. Caution is necessary to avoid inefficiencies due to possible overlapping care functions and increased overhead expenses due to multiple sites.
Contractual relationships with insurance companies, providers, and patients will all change as hospitals become community-oriented providers. It will be necessary to renegotiate insurance policies to accommodate distributed care networks, in revise provider contracts to redefine functions and responsibilities across sites, and ensure that patient obligations are clearly defined and accepted.
Management efforts will be needed to guide the development of appropriate contracts and to emphasize their acceptance throughout the system.
Budgeting demands will change with a community orientation. Established budgeting approaches (and software) will need to evolve to accommodate changes in facilities, networks, and contracts.
Hospital managers should get “ahead of the curve” for these changes, and not wait to recognize the needs that evolve and to implement new operational approaches under pressure.
In 2013, the retroactive fixes being attempted for the Affordable Care Act (ACA) illustrate how difficult it is to make corrections “after the fact.”
Healthcare executives would be advised to make “to do” lists for all four of the above areas (and others), and start planning and implementing new strategies before being forced to respond to pressures and becoming mired down in retroactive fixes.
Such strategies should be prepared with full recognition of the ways in which interested groups will likely react to such changes, and with accommodations included to produce the desired results even with these reactions considered.
Ferd H. Mitchell is an attorney, Mitchell Law Office, Spokane, Wash., and a member of HFMA’s Washington-Alaska Chapter.
Cheryl Mitchell is an attorney, Mitchell Law Office, Spokane, Wash.
Read a new edition of the authors’ book Legal Practice Implications of the Affordable Care Act, Medicare and Medicaid, 2013-2014 for details how organizational reactions to the ACA may be evaluated.
Publication Date: Friday, January 03, 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.
©2015 Copyright Healthcare Financial Management Association
HFMA.org is best viewed using IE9 or the latest versions of Chrome, Firefox, and Safari.
Join HFMA today and enjoy: