June 2018Cover Story

Achieving an Aligned Physician Enterprise Through Cultural Transformation 
Although today’s healthcare capital markets support continuation of their investment strategies, hospital and health system’s current should be prepared for changes that may require a shift in focus. 
By Michelle Holmes, Christine Stewart, and Stephen McMillen


Video

The Evolution of Payment Models
François de Brantes, former vice president and director for the Altarum Payment Institute, discusses payment models.


Early Edition

Healthcare Innovation in an Age of Contradictions
Trends in four key areas—consolidation, value-based care, Big Data, and generational differences—are disrupting the U.S. healthcare system and promoting innovation, according to surveyed healthcare executives.
By Jeff Jones

Offshore Versus Domestic Outsourced Coding Services: A Comparative Assessment 
Although offshore outsourced medical record coding services are widely believed to a cost-effective outsourcing option, a recent study identified concerns that healthcare providers considering this option should address before moving forward. 
By Bill Wagner, CHPS, and Sarah Humbert, RHIA 

6 Ways Tablets at Registration Deliver ROI to Enterprise Health Systems  
The cost savings that result from eliminating paper forms at patient check-in can be significant for health systems. 
By Deborah Theobald

Why Organizational Culture Is Critical to Success  
Effective leadership requires good communications skills as well as a strong vision.  
By Libby Gill

Healthcare Matters 
The Trump Administration’s Approach to Value  
Ever since HHS Secretary Alex Azar announced that one of his priorities for the U.S. healthcare system would be to accelerate the shift to value-based care, industry stakeholders have awaited insight into how he would turn that priority into to policy action. 
By Lia Winfield, PhD


Features

Special Section: Chair Profile
Incoming HFMA Chair Calls on Finance Leaders to ‘Imagine Tomorrow' to Improve Care Delivery and Accessibility Today 
HFMA’s 2018-19 Chair, Kevin Brennan, CPAs, calls upon healthcare finance leaders to imagine a future in which innovation promotes improved access to health care that is both more reliable and more affordable.   

The CFO’s Role in Accelerating Systemwide Performance Improvement
The varied expertise of CFOs positions them as natural leaders of performance improvement initiatives.
By Robert Green, MBA, FACHE, CHFP, Darryl Greene, MS, and John A. Orsini, CPA

Collaborating for Value: The Path to Successful Academic-Community Relationships 
A partnership involving an academic medical center and a community health centers can offer clear benefits to both parties, but before entering on such a relationship, they also should understand the risks it poses.
By David Fairchild, MD, MPH, and Richard E. Wesslund

Bundled Payments for Care Improvement Advanced: 5 Critical Issues
When considering whether to participate in the Bundled Payments for Care Improvement Advanced program, hospitals and health systems should examine five key areas that could affect their performance under the program.
By John M. Harris, MBA, Molly Johnson, MHSA, Amanda Brown, MHA

Special Feature
Innovating to Care for High-Need, High-Cost Patients
Providers and health plans need to broaden their views to find and implement approaches that deliver greater value to the patient while ensuring the financial sustainability of the system. Download a PDF of this report from HFMA’s 2018 National Payment Innovation Summit. 


Focus Area

Revenue Cycle
Improving Revenue Cycle Performance by Following Changes in Care Plan 
A Maryland-based health system implemented a new tool and processes to decrease denials by following up on deviations from patients’ plans of care.   
By Sheila Kuenzle, Vickie Kleski, and Rebecca "Becky" Crytser, RN, MS, CPC

Accounting       
Healthcare Transformational Landscape: Impact on Accounting From EHR Platforms and Other
The cost of implementing a new electronic health record system can be expensed or capitalized over the life of the implementation project.
By Norman C. Mosrie, FHFMA, CPA, CHFP


Columns

From the Chair
HFMA National Chair Encourages Healthcare Finance Professionals to ‘Imagine Tomorrow’
HFMA’s 2018-19 Chair, Kevin Brennan, asks healthcare finance leaders to imagine a tomorrow where everyone has access to safely delivered and affordable health care when they need it.  
By Kevin Brennan, CPA

Eye on Washington            
Trending Toward Home Care: Is Our Health System Ready?
The advancement of telemedicine and home-based technology presents both opportunities and challenges with respect to improving health care and making it safer.        
By Tejal Gandhi

Healthcare Innovation 
The Five C’s of Innovation
A recent HFMA study of healthcare organizations in nine markets considered the factors involved in organizational change.
By James H. Landman, JD, PhD

From the President 
It's Showtime!
HFMA President and CEO Joe Fifer shares perspectives on innovations and traditions at HFMA’s newly revamped Annual Conference.
By Joseph J. Fifer, FHFMA, CPA 


Departments

News Watch Data Analysis 
Medicare Acute Inpatient Hospital Stays per 1,000 Enrollees, 2016
This graph showcases data about medicare acute inpatient hospital stays per 1,000 enrollees in the year 2016. 


Supplements  

HFMA Executive Roundtable   
Navigating Value-Based Reimbursement 
Sponsored by Optum
A roundtable discussion about value-based reimbursement challenges, opportunities, and strategies for success.


Advertising  

Trendsetter   
Premier: Pursuing an Integrated Approach to Pharmacy       
This article looks at Premier’s work in helping health systems improve their pharmacy operations to be more integrated, cost-effective, and patient-focused. 

Business Profile    
TRIMEDX: Moving Healthcare Providers Toward Mature Clinical Asset Management     
This article includes a discussion by TRIMEDX leaders about the best ways to mature a clinical asset management program.

Gatefold
Humana: Embracing New Payment Models: Challenges, Opportunities, and Strategies for Improvement
This piece shares key points from a Humana-sponsored survey on value-based payment readiness.

Publication Date: Friday, June 01, 2018