At the Tipping Point for Assuming More Risk
An in-depth look at how organizations can build capabilities to implement effective value-based payment contracts and care delivery models.
Data Analytics and the Revenue Cycle
A research highlight that delves into key takeaways from a May 2018 HFMA member survey about the use of data analytics in the revenue cycle.
Strategies for Automating Accounts Payable
Tips-focused article about automating procurement and payables processes that shares benefits and offers real-world success strategies.
Where Providers Are Finding Value-Based Profit
Healthcare provider organizations that are seeking ways to successfully accomplish the shift from fee-for-service to value-based payment can gain insight from the experiences of provider organizations that are industry leaders in this transition.
Ensuring the Revenue Cycle Gets a Clean Bill of Health
Health systems can reduce denials by using claims management tools, but their use must be supported by a commitment to ongoing process improvement within the organization.
Repurposing TDABC: Case Examples from a New York Hospital
Time-driven activity-based costing principles provide an excellent basis for helping healthcare organizations identify opportunities for improving their operations.
The Future of Consumerism
HFMA President and CEO Joe Fifer discusses rising consumer expectations in health care and what it will take to meet them.
Balancing Innovation and Delivery
As healthcare organizations look toward moving into the next phase of innovation, they must not lose sight of their core mission.
5 DRGs Are Primary Contributors to Rising Average Loss per Medicare Hospital Admission
Among Medicare admissions in 2015 to 2017, costs per admission rose more rapidly than did payments, and the impact of this trend on hospitals’ financials strongest with admissions associated with 5 DRGs.
Administration Meets Challenge to Risk-Adjustment Payments, Counter to Critics’ Assumptions
Responding to a New Mexico district court’s ruling against the risk-adjustment program established by the Affordable Care Act, CMS initially put the program’s payments to collections and payment on hold, but then took steps to reinstate the program.