Marc Scher: Making the right moves forward for payer-provider collaboration
If innovation is key to moving forward as an industry and as an organization, so is the ability to nurture strong relationships. It’s a skill that is crucial to navigating payer-provider relations, where the stakes can mean the difference between a patient being able to access care locally and having to travel long distances for…
Susan Dentzer: It is time to move past denying the perfect storm facing U.S. healthcare
The healthcare sector is facing a perfect storm of aging patients, rising costs, aging providers, and a shortage of primary care physicians, creating a need to a shift toward preventive care, increased use of technology, more virtual and home care and sustainable care teams.
AI-guided clinical alignment can help avoid AI-driven denials
Read five critical components for a strategic approach to achieving AI-guided clinical alignment between payers and providers.
Offering a health and wellness credit card provides a patient-friendly payment option
Learn about a patient financing solution that helps reduce accounts receivable and provides financing options so patients can seek out the care they want or need.
Create more accurate cost reports faster with BESLER’s Easy Work Papers
A cost report is a critical reimbursement tool, but as much as 80% of it is repetitive. Check out this solution that is designed to help hospitals automatically complete the areas that repeat, so their staff has more time to focus on areas that have a real impact on the hospital’s revenue.
Jill Geisler: 10 questions for leaders who want to be better delegators
Ask managers how they’re doing these days, and you’re likely to get the universal answer: “Busy. Really busy.” Today’s leaders must navigate meetings, projects, personnel issues, paperwork, planning, hiring, coaching, strategizing — and putting out the inevitable fires. But when a well-meaning person says, “Maybe you could delegate a few things,” it can frustrate the…
David Johnson: 10 forces are combining to disrupt healthcare’s status quo
The U.S. healthcare system operates in much the same way it has for the past 100 years: always hospital-centric, physician-centric, disease-centric, treatment-centric and transaction-centric. Providers receive payment for the specific treatments they deliver. There is limited care coordination, little emphasis on prevention, inadequate provision of mental health services and woeful chronic disease management. The result…
Why a health system’s growth strategy should include a build-versus-buy analysis
Recent market disruptions in the hospital industry make it imperative that health systems be precise in their capital planning for growth initiatives as part of an overall strategic vision. An essential goal for such planning is to find a balance between service line diversification and expansion, while maintaining sound financial results. Weighing the pros and…
How to respond to Medicare Advantage’s rising headwinds
Medicare Advantage has experienced rapid membership growth, but providers and payers are facing headwinds that are increasing contention and uncertainty, leading to a shift in power and potential implosion of the program.
Networking and practical solutions are 2 of the top HFMA Community benefits
Some of the most active groups in HFMA’s online Community were formed as a result of member suggestions. That’s why Community managers listened when they recently received requests for new groups to discuss current events and needs. The 450-member strong Change Healthcare outage group is one prominent example. As the impact of the Change Healthcare…