Understanding Quality Components and Metrics
Quality metrics are an essential consideration in shared savings or shared risk contracts. Information about these metrics typically is located in an appendix, addendum, or exhibit. The provider organization should be familiar with and understand the specific measures. For each
Strategies for Successful Value-Based Partnerships
The Executive Experience session at HFMA’s ANI 2017 brought together leaders from finance, clinical medicine, and health plans to explore ways to partner in value-based care initiatives.
The New Revenue Recognition Standard: Where Organizations Stand
As implementation time draws near for the Financial Accounting Standards Board’s new standards regarding contracts with customers, healthcare organizations should take steps to ensure their processes align with these standards.
Integrating Healthcare Revenue and Operating Models to Create a Sustainable Future
As the first step in any initiative, the analysis and strategy development for adopting a new revenue model is key to the success of implementation.
6 Practices for Effective Managed Care Contracting
Certain practices are critical to effective contracts between health plans and provider organizations.
the role of HCCs in a value-based payment system
Documentation of chronic conditions is increasingly important as hospitals move toward value-based payment models.
Assessing SNF Providers by Overall Quality Rating
An analysis of skilled nursing facilities looking at their CMS star ratings identified trends favorable to not-for-profit SNFs.
Fight Consumerism Fatigue
Consumerism may be slipping lower on healthcare leaders’ priority lists. Although it may not seem urgent, it’s more important than ever. Here’s why.
How to Revisit Private Placement Debt
Hospitals should reassess the private placement debt they accrued in the recent constrained lending market to determine their best options now that the market has loosened.
Charging Appropriately for Emergency Department Visits
To determine a fair charge for an emergency department visit, a hospital or health system must separate its costs into three categories.