HFMA

There are 11 key performance indicators health systems should track to assess the performance of a clinical revenue cycle

This document provides a summary CMS's final rule providing for revisions to the Medicare Advantage and Voluntary Prescription Drug Program regulations to support plan negotiations for lower drug prices and lower out-of-pocket costs for enrollees.

Healthcare organizations that qualify as HIPAA covered entities should take five steps when developing a compliance program designed to meet their obligation under HIPAA to safeguard patients’ protected health information.

Rising Medicaid costs and high costs of healthcare for state employees are having a negative effect on state budgets.

Montana’s adoption of Medicare reference pricing has dramatically reduced payment rates for healthcare services delivered to state employees.

There are 11 key performance indicators health systems should track to assess the performance of a clinical revenue cycle.

Five evolving areas for compliance require attention from a hospital’s or health system’s compliance program: quality of care, patient abuse, quality reporting, emergency preparedness and case management.

High-performing accountable care organizations (ACOs) have five characteristics in common that help them achieve success with value-based payment contracting.

Healthcare finance leaders should use a checklist to assess their readiness to pursue value-based contracting.

Healthcare organizations seeking to establish a an accountable care organization (ACO) or clinically integrated network (CIN) should allow for an eight-year, five-phase process