Top 5 episode-analytics questions answered
As healthcare providers continue to move toward value-based care models, data and analytics will continue to play an important role. In 2017 alone, U.S. hospitals cared for over 36.5 million admissions. As this number continues to grow, providers will need to understand their patients not only as they pass through their own care journey, but…
2 states take the lead in implementing innovative healthcare reforms
Washington and Colorado are seeking to funnel noteworthy innovations in healthcare reform, including a public option, through their Medicaid infrastructures.
Analysis: New mandatory radiation therapy payment model
Details about the new five-year mandatory radiation therapy model released by CMS the week of July 8 are reviewed.
Analysis: Administration’s plans on drug pricing faced recent multiple setbacks
In the face of recent, multiple setbacks on the Trump administration’s proposals for drug pricing, the administration could move aggressively forward on its anticipated International Pricing Index Model for Part B drugs proposal.
Analysis: Survey results show health systems prepared to take risk
Results of a recent HFMA/Navigant survey show providers are prepared to increase their level of payment risk. HFMA’s Chad Mulvany provides insight on what these results indicate.
How hospitals can create cost advantage where product differentiation is not present
Cost advantage can be achieved in two ways: Identifying whether efficient levels of cost exist and benchmarking.
Joint venture removes provider, patient and payer barriers
A joint venture between Banner Health and Aetna aligns value-based care with economic incentives to reduce the cost of care.
Analysis: Effect of expansion of pre-tax accounts for employees to purchase insurance
HFMA's Chad Mulvany shares the possible impact of a proposed rule that allows employers to make pre-tax contributions for employees to purchase individual coverage starting in 2020.
Ensuring value-based data sharing complies with HIPAA
Healthcare organizations engaging in value-based contracts may be at greater risk for a breach if patient privacy and HIPAA are not front and center.
Remaining nimble amid government regulation changes
By being proactive and developing the capacity to change, your revenue cycle department can acquire the dynamism to respond as the Medicaid landscape shifts.