Sponsored Content

Out of the back office, into the spotlight: 5 skills revenue cycle leaders need

Healthcare has changed tremendously over the past decade. From increasingly complex payer requirements to growing federal and state regulations to a substantial change in the payer mix (patients are now the second largest payer (27%) behind the federal government (34%), which is mostly Medicare and Medicaid). Today’s revenue cycle is an entirely new animal. What…

HFMA June 9, 2023

Case study: Dartmouth Health achieves 101.6% of cash collection goal

Monthly reconciliation within the large healthcare system had become unpleasantly burdensome. With over 250 systems and practices, the healthcare company needed a platform that would support growth, manage multiple payments types and reconcile to more than one bank, while maintaining a single source of truth for audit and compliance. This case study presents challenges Dartmouth…

HFMA May 22, 2023

Addressing the Rising Patient Payment Obligation: Impact and Strategies amid today’s challenging healthcare environment

In the Fall of 2021, CommerceHealthcare® sponsored a focused survey conducted by the Health Management Academy (HMA), an organization for executives from the nation’s top health systems and leading companies. The HMA survey involved both quantitative polling and in-depth telephone interviews to explore current issues in patient financial experience. This report combines those findings with…

HFMA May 19, 2023

7 KPIs providers should be tracking

Health systems and provider organizations are facing enormous challenges. In a recent poll, providers ranked five of their most pressing issues, which were staffing (58%), expenses (20%), revenue (17%), technology (2%), and other (2%), according to the MGMA. The poll also found that costs have been outpacing revenue for nine in ten respondents. In addition…

HFMA April 6, 2023

The impact of claims denials on the financial health of healthcare

While their hospitals and healthcare centers have long had to deal with claims denials, the number of denied claims continues to rise and payers are showing little inclination to help solve the problem, according to several roundtable participants.

HFMA March 29, 2023

Best practices for relieving unprecedented cost pressures facing healthcare providers

Due to labor cost increases, inflation, declining Medicare reimbursements and other reasons, health systems across the nation are feeling a new financial strain after the height of the pandemic.

HFMA March 29, 2023

Creating sound strategies to manage compensation and benefits regardless of where your employees reside

No doubt there are significant cultural and financial benefits to supporting continued remote and hybrid work in healthcare, particularly in billing/coding, call center, scheduling and administrative roles. Healthcare, however, faces specific challenges as they seek to demystify multi-state tax rules.

HFMA March 29, 2023

Navigating payer practices to reduce denials and enhance outcomes

The friction between payers and providers has existed for decades. It’s understandable to an extent. Payers want to reduce expensive and unnecessary treatment, eliminate fraud and lower financial risk. Providers want to be able to make decisions regarding their patients’ care without having to navigate the hurdles of medical necessity, prior authorization and complex payer…

HFMA March 3, 2023

The patient as the new payer: 5 opportunities to improve the patient financial experience

Patient collections have become an increasingly difficult challenge for hospitals due primarily to a shift in payer mix. Because of rising deductibles and increased patient responsibility, the percentage of healthcare provider revenue collected directly from patients increased to more than 30% from less than 10% over ten years, according to an article from HITLeaders. Faced…

HFMA February 10, 2023

2023 Change and Strategy Research Report

HFMA, with sponsorship from Guidehouse, surveyed 182 health system CFOs, CEOs, and other executives to understand how staffing and patient volumes are expected to change in 2023, and how various market factors may be influencing strategy and goals.

HFMA January 18, 2023
googletag.cmd.push( function () { googletag.display( 'hfma-gpt-leaderboard' ); } );