Bart Richards, CHFP
About the Author
Bart Richards, CHFP
Latest Work
The OBBB’s Medicaid work requirements and the hidden risks for hospitals
The One Big Beautiful Bill (OBBB), passed this summer, contains a provision of great consequence for hospitals: Medicaid work requirements. The new law requires a subset of beneficiaries to log at least 80 hours of employment, volunteering or schooling each month to maintain coverage. The changes carry significant administrative and reputational risk for health systems.…
Commitment and path required in change management to create a sustainable impact
In 2021, Carilion Clinic, a $2 billion revenue, eight-hospital integrated health system in Roanoke, Va., was facing a problem familiar to many health systems around the country: stubbornly high average length of stay (ALOS) that was hurting Carilion’s efforts to serve its community. The pandemic had exacerbated operational challenges and mitigated the effectiveness of previous…
How Orlando Health stemmed healthcare costs by eliminating unnecessary clinical process variation
An initiative to eliminate unnecessary variation in care processes for six diagnostic groupings enabled Orlando Health to significantly reduce its average length of stay for the diagnoses while realizing a substantial reduction in cost.