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

Podcast | Social Determinants of Health
Dr. Brian Castrucci, an epidemiologist and CEO of the de Beaumont Foundation, talks with HFMA President and CEO Joe Fifer about policies to improve public health, cost effectiveness of health, the future of COVID-19 and the healthcare indus...
Save
Article | Innovation and Disruption
U.S. health systems can best promote cost effectiveness of health through innovation and a commitment to ensuring the ongoing financial sustainability of the healthcare enterprise. Health systems are increasingly turning to venture investin...
Save
News | Medicaid Payment and Reimbursement
In pending legislation, reductions to disproportionate share hospital payments would be used to subsidize commercial insurance for low-income residents of states that haven’t expanded Medicaid.
Save
News | Medicare Payment and Reimbursement
Citing patient safety concerns among other issues, CMS formally canceled a Trump administration rule that would have required Medicare to cover breakthrough medical devices.
Save
News | Medicaid Payment and Reimbursement
In pending legislation, reductions to disproportionate share hospital payments would be used to subsidize commercial insurance for low-income residents of states that haven’t expanded Medicaid.
Save
News | Medicare Payment and Reimbursement
CMS used the 2022 final rule for Medicare physician payments to offer accommodations on policies related to telehealth and more, but concerns loom about a large cut that's in the offing.
Save
Blog | Administrative Simplification
Savings can be generated at the organizational and healthcare industry levels through steps to reduce wasteful administrative processes, study authors wrote.
Save
Blog | Health Plan Payment and Reimbursement
The American Hospital Association says pending regulations that would affect prior authorization should be expanded to include Medicare Advantage.
Save
Blog | Healthcare Business Trends
As COVID-19 hospitalizations increased, some volumes took a hit and margins remained tight.
Save

Shall We Play a Game?