Health Plan Resources

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

Resources

Research & Reports | Value-Based Payment
HFMA’s Consumerism Maturity Model builds on our industry-consensus consumerism best practices to guide hospitals and health systems in their efforts to improve their patient financial experience.
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News | Healthcare Business Trends
Hospital financial performance partially recovered in March as patient volumes returned to something closer to normal after a significant downturn during the omicron wave.
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Podcast | Patient Experience
Cardiologist and epidemiologist Dr. Christopher Labos discusses weight bias in healthcare, including what health indicators to focus on instead of weight and how to help patients who are at risk improve their health outcomes without explici...
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News | Healthcare Business Trends
Hospital financial performance partially recovered in March as patient volumes returned to something closer to normal after a significant downturn during the omicron wave.
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News | Health Plan Payment and Reimbursement
The portal for payment arbitration cases taking place under the No Surprises Act is open for business but could be facing a backlog of cases.
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News | Medicare Payment and Reimbursement
The hospital industry expressed disappointment with the proposed increase for inpatient payments in FY23.
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Blog | Medical Necessity
Medicare Advantage processes related to prior authorization hamper beneficiaries’ access to medically necessary care, according to a new report from the HHS Office of Inspector General.
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Blog | Healthcare Business Trends
CMS actuaries say the healthcare spending spike of 2020 will be tempered across sectors and payers in upcoming years.
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Blog | Healthcare Business Trends
January financial data for hospitals show the continuing toll of the COVID-19 pandemic, while February labor numbers suggest an operational recovery that could further increase expenses.
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