July 2016 hfm CoverCover Story

TDABC in Primary Care: Results of a Harvard/Mayo Clinic Collaboration
A partnership between Mayo Clinic and Harvard Business School brought a costing method developed for manufacturing into a primary care setting, helping identify areas for greater efficiency.
By Gregory J. Hanson, MD, Derek Haas, Dustin Douglas Kuchera, Jerry J. Sobolik, MBA, Richard A. Helmers, MD, and Robert S. Kaplan, PhD


From the President's Desk

July 2016: From the President's Desk: Joe Fifer on Innovation Expanding on thoughts in his July 2016 column in hfm, HFMA President and CEO Joe Fifer describes why innovation is within reach for all healthcare stakeholders. 


HFMA Video Spotlight

Regulatory Areas of Focus in Health Care and How to Control Costs for Expensive Procedures
Mark Polston, JD, partner at Healthcare Practice Group King & Spalding, discusses regulatory areas of focus in health care and how to control the costs of expensive procedures.


Early Edition

Engaging Physicians to be Good Financial Stewards
Providing clinicians with easy access to timely cost and performance data enables consideration of both care concerns and good economics when making decisions.
By Charles G. Macias, MD, MPh and Bryan Oshiro, MD 

Transition to MACRA: Strategic Implications
Healthcare providers should start preparing now for MACRA’s Quality Payment Program, given that the performance period for the program’s first year starts Jan. 1, 2017.
By Melinda S. Hancock, FHFMA, CPA and Doral Davis-Jacobsen, MBA, FACMPE 

Special Feature
Ratings Agencies Praise Healthcare Organizational Leadership but Remain Concerned About the Sector’s Future
The ratings agencies comment on how hospitals and health systems can endure uncertainty.
By Laura Ramos Hegwer 

From the Editor
The Ripple Effect of Simplified Billing on the Patient Experience
Rising healthcare costs have consumers calling for more choices and better transparency.
By Daniel R. Verdon


Features

Data-Driven Collaboration: How Physicians and Administration Can Team Up to Improve Outcomes
Partnering with physicians who were eager to participate in the process, one university hospital’s financial leadership examined key data with an eye toward performance improvement.
By Mary Beth Briscoe, CPA, FHFMA, FACHE, Brenda Carlisle, MSHA, BSN, RN, CENP, and Robert J. Cerfolio, MD, MBA, FACS, FCCP 

Clinical Service Line Strategy: Managing the Risks of Geographic Expansion
An effective clinical service line growth strategy should be led by a physician and an administrator who understand the service line’s operating economics.
By Daniel K. Zismer, PhD and David Schuh, CPA 


Focus Areas

Revenue Cycle
Reducing Administrative Write-Offs Through Improved Denial Management
Hospitals and health systems seeking to reduce denials can identify areas of improvement and optimize staff and systems with the help of a diverse group dedicated to looking critically at current practices and procedures.
By Wendy Burns and Alicia Harmon 


Columns

From the Chair
Thriving Under MACRA
Hospitals and health systems must plan carefully for value-based payment under MACRA.
By Mary Mirabelli, FHFMA 

From the President
Innovation: Making It Real
Innovation is a strategic imperative that is within reach for all healthcare organizations—irrespective of budget and other resource constraints.
By Joseph J. Fifer, FHFMA, CPA 

Eye on Washington
2017 Shows Signs of Major ACA Premium Increases
With several factors affecting premium rates, 2017 will be a pivotal year.
By Gail R. Wilensky, PhD 

Healthcare Value
The Appropriateness Factor
Appropriateness of a procedure is just as important in a plan of care as quality and cost efficiency.
By James H. Landman, JD, PhD 

Capital Finance
Meeting Equipment and Savings Requirements
Hospitals can use a strategic roadmap to meet evolving equipment needs and reduce capital costs.
By Eric A. Jordahl, Matt Robbins, CFA, and Mark Sedlmeier 

Etcetera
Member Profile: On the Ball
An HFMA member has found a second career as a referee.

Data Trends
Remarkable Variation in ICU Utilization Among Hospitals Treating Heart Failure
An analysis of Medicare utilization patterns of intensive care and critical care units shows great disparities among hospitals.
By William Shoemaker 

Publication Date: Friday, July 01, 2016