Health Plan Resources

A collection of resources to help health plan leaders navigate the challenges and opportunities in this new era of health care.


Podcast | Patient Experience
The cover story in the Winter 2020 issue of hfm magazine focused on the issue of deferred care during the pandemic. But deferring or avoiding healthcare is not a purely pandemic problem. Transgender patients are just one group that routinel...
Podcast | Healthcare Business Trends
Melissa McCain, director and leader of the consumer access digital transformation practice of The Chartis Group, and Charles Alston, market executive leader of Bank of America’s healthcare team in the southeastern U.S., discuss HFMA’s Healt...
News | Health Plan Payment and Reimbursement
Leading provider associations have asked a federal court to halt the incorporation of criteria that appear to favor insurers over providers in an arbitration process to determine out-of-network payment amounts.
News | Medicare Payment and Reimbursement
The House of Representatives is set to vote on a bill that would nullify a large share of 2022 Medicare payment cuts.
News | Value-Based Payment
During a recent call with healthcare stakeholders, leaders with the Center for Medicare & Medicaid Innovation heard various ideas for improving value-based payment models.
Blog | Healthcare Business Trends
A skewed labor market continued to affect hospital finances in November even as operating margins improved from October.
Blog | Medicaid Payment and Reimbursement
Changes in operating margin, staffing ratios and quality metrics didn’t hinge on whether a critical access hospital was in a state that had expanded Medicaid.

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