HFMA

Healthcare executives responding to a recent survey overwhelming agree that transforming costs is a “significant” or “very significant” need, but more than 50 percent have no cost reduction targets for the next five years or have a goal of 1-5 percent—a range that is far below what will be required to transform cost structures.

Staff engaged in revenue integrity and charge audits should carefully monitor five key categories that are most common reasons for missing charges.

HFMA and Navigant surveyed 125 hospital and health system CFOs and revenue cycle executives to learn about next-generation revenue cycle management trends. Erick McKesson, director for Navigant, summarizes the findings in this video.

This article shares how Premier Inc. helped Adventist Health System successfully navigate bundled payment initiatives by offering a dynamic collaborative led by seasoned experts and user-friendly analytics that enable evidence-based decisions.

Documentation of chronic conditions is increasingly important as hospitals move toward value-based payment models. 

Documentation of chronic conditions is increasingly important as hospitals move toward value-based payment models. 

Quality metrics are an essential consideration in shared savings or shared risk contracts. Information about these metrics typically is located in an appendix, addendum, or exhibit. The provider organization should be familiar with and understand the specific measures. For each

The Executive Experience session at HFMA’s ANI 2017 brought together leaders from finance, clinical medicine, and health plans to explore ways to partner in value-based care initiatives.

Break even Analysis (BE) Technique for calculating the volume required for a specific service where expenses equal revenue generated. Charges (Gross Charges) Billed amount

Break even Analysis (BE) Technique for calculating the volume required for a specific service where expenses equal revenue generated. Charges (Gross Charges) Billed amount