In this issue of HFMA’s Cost Effectiveness of Health Report, sponsored by Kaufman, Hall & Associates, LLC, Dave Johnson challenges us to take a hard look at how we approach revenue cycle management in the United States. The issue also highlights then next report in HFMA’s Healthcare 2020 series, examining what’s in store for our nation’s public health system.
Rewiring healthcare’s smartest professionals (Hint: It’s not physicians)
By David W. Johnson
Revenue cycle management is a massive and growing industry within the U.S. healthcare system. But its focus is more on optimizing revenue than on ensuring the needs of patients are fully met. That needs to change, and a better approach is not out of reach.
Why owning a health plan is a good provider strategy
By Scott Nordlund
The trend toward more prevalent ownership of health plans by health systems shows no signs of slowing as health systems are increasingly recognizing the importance of having their primary focus be on health and health outcomes rather than on the number of visits or procedures. Here, a health system leader describes the advantages of health plan ownership and strategic considerations for pursuing this approach.
How health systems can support underserved patients through in-home care
By Eric Galvin, CPA
Finding a way to deliver high-touch care to vulnerable and underserved patients using the patient’s home as the primary point of care has become a strategic priority for providers. The strategic shift to a focus on in-home care for these populations stems from increasing pressure on health systems to lower the cost of care for populations they serve while solving for the challenges presented by social determinants of health.
Less can be more: New considerations for hospital and health system partnerships
Sponsored by Kaufman Hall
By Courtney Midanek and Nick Gialessas
A range of affiliation structures and contractual obligations that stop short of full integration can offer an attractive alternative for hospital and health system partnerships contending with difficult operating environments
Voice of experience
Healthcare CFOs can benefit from having a financial analyst’s perspective
By Steven Berger, FHFMA
Wendy Fielding, MBA, a 30-year member of HFMA, and CFO and system vice president of finance at Dartmouth-Hitchcock in Lebanon, New Hampshire, values the lessons she learned from her early experience as a financial analyst in healthcare. And she applies those lessons learned as she helps her organization today realize its commitment to value-based care and improving access to care for its patients.