Cover Story

Ripple Effects of Reform on Capital Financing

Capital planning in health care today poses new challenges as capital investments increasingly shift from bricks and mortar to more fluid, process-based strategic initiatives.

By Kelly Arduino

Q & A

Atul Gawande: Understanding the Forces Driving Healthcare Change

Atul Gawande, MD, MPH shares his views on key ways to deliver higher-quality care at lower cost as well as the increased focus on transparency of cost and quality information.

By Rich Daly  


Building Blocks for Organizational Change

Achieving the potential benefits of a partnership depends on how well the partnering organizations understand each other’s culture, capabilities, and needs from the start.

By Rich Daly


Determining Your Organization's "Risk Capability"

To be successful in a healthcare reform environment, providers must develop key capabilities for managing financial and performance-based risk.

By Bill Hannah, Melinda Hancock


Time to Replace Adjusted Discharges

A new metric for measuring total hospital volume, Equivalent Discharges, correlates significantly better with cost than do adjusted discharges—without the same inherent flaws.

By William O. Cleverley


Managing Chronic Conditions: Economic Analysis Can Help Mitigate Costs of Diabetic Ulcers

Healthcare administrators should keep informed of new, cost-effective treatments that can reduce healthcare costs and improve outcomes.

By Leah Amir

Web Extra: Diabetes and DFUs: Incidence and Effects on Americans

Special Feature

Improving Price Transparency: An Overview of the HFMA Price Transparency Task Force Report


Strategic Agility Series Report 4: Managing Productivity for Strategic Agility
Sponsored by GE Capital

HFMA Roundtable: Meeting the Healthcare Needs of Underserved Communities
Sponsored by Walgreens

Special Advertising Section
5 Strategies for Smoothing the Road to ICD-10 

Business Profile
Deloitte: ICD-10 Strategies to Consider During the Delayed Timeline  
In this profile from Deloitte, experts discuss key strategies hospitals and health systems should consider when determining the best path forward with additional time for the ICD-10 transition. 

Ad Index

Focus Areas


Tying Supply Chain Costs to Patient Care

Following the FDA’s establishment of a unique device identification system, hospitals should invest in technology and processes to trace supply usage patterns and analyze effects on cost and quality.

By Rosalind C. Parkinson



5 Strategies for Lessening the Self-Insurance Impact of the ACA

Many healthcare organizations use self-insurance programs to control professional liability and workers’ compensation exposures.

By Richard Frese  


From the Chair

Keep Doing Whatever It Takes!

HFMA volunteers show a continued commitment to do “Whatever It Takes” to successfully guide the nation’s healthcare industry forward. 

By Steven P. Rose, FHFMA, CPA


From the President

To Transparency... and Beyond!

An HFMA report describes what health care’s stakeholders can do to improve price transparency for patients and other care purchasers, but several transparency-related issues remain to be addressed.

By Joseph J. Fifer, FHFMA, CPA


Eye on Washington

Why Implementing the ACA Has Been Harder Than We Thought

A broad assessment of the initial roll-out phase of the Affordable Care Act points to daunting challenges that lie ahead to meet objectives of the law.

By Gail R. Wilensky


Business Intelligence

Analyzing Financial Performance in the New World

New business intelligence tools have emerged to help providers better assess and report financial performance. 

By John Glaser


Healthcare Value

Competitive Collaborators

Hospitals, health systems, and other provider organizations are blurring the line between competition and collaboration to achieve greater value in health care.

By James H. Landman


Healthcare Reform

The Fiscal and Political Realities of SGR Reform

A permanent fix of the sustainable growth rate (SGR), although badly needed, remains elusive in the current political environment. 

By Ken Perez


Capital Finance

Risk and Return in the Post-Crisis World

Principles governing the relationship between risk and return seem to have been set aside recently but may reassert themselves as the financial environment returns to longstanding earlier patterns.

By William F. Jarvis  


5 Ways To...

5 Ways to Bring Hospital and Physician Revenue Cycles Together

Creating an integrated hospital and physician revenue cycle can help large healthcare systems overcome shrinking margins, pursue new payment models, and expand service delivery. 

By Kathleen B. Vega



Member Spotlight: Burro Baller


Publication Date: Thursday, May 01, 2014