HFMA

For executives who have lived through the marketing of such technological developments as big data, the cloud and the Internet of Things, the prospect of taking on the latest hot concept, AI, might not be appealing.  But ignoring AI and all its variations may be a mistake. Although there are different technology solutions being sold…

As a health system leader, how can you ensure your organization is making the right moves to take on risk in an evolving landscape for payment? Check out a handful of key capabilities to focus on in this article.

Review some tips from a company with 6.5 years of hands-on experience in helping its healthcare clients handle concerns in healthcare such as workforce shortages and a volatile regulatory environment.

Five healthcare leaders in revenue cycle management and patient access share their approach to workforce management in a remote and/or hybrid model and lessons learned along the way.

This profile highlights how one business oversees more than 3,000 physician recruiting assignments annually and provides details on other resources offered such as the NCQA-Certified Credentials Verification.

HFMA presents its comment letter to CMS on the CY 2024 OPPS/ASC Proposed Rule.

HFMA presents its comment letter to CMS on Request for Information Regarding Medical Payment Products

The majority (70%) of OSF HealthCare’s business is paid for by Medicare and Medicaid, prompting Mike Allen, FHFMA, MBA, the system’s CFO, to identify Medicaid as presenting the next big opportunity for assuming risk under a value-based care approach.  “Trying to wade into a value-based agreement for the Medicaid population is not for the faint…

Providers and payers have become more collaborative as payment models evolve toward value. Still, payer-provider relationships can seem one-sided — decidedly in favor of the payer — as hospitals continue to face declining reimbursement and rising costs. The increase in denials is a great example, with rates skyrocketing by 20% over 5 years, according to…

HFMA presents a detailed summary of the proposed rule issued by CMS updating payments under the hospital outpatient prospective payment system and the ambulatory surgical center payment system for CY 2024.