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.
6 revenue cycle objectives for the transition to value-based payment models
To maximize revenue, medical practices are focusing on value — delivering high-quality care while managing total costs — and managing risks associated with two-sided payment models.
Analysis: Local purchasing alliance reduces hospital prices by 20%
As more data on price variability in healthcare becomes available, there will be an increase in activist employers and employer coalitions getting local health systems to lower prices.