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.
Analysis: Employers are not a monolithic block on Medicare for All
If struggles to control healthcare costs continue, more U.S. employers may change their positions in favor of Medicare for All.
Get creative with technology to drive your managed care programs
Technological innovations can help healthcare organizations improve their managed care programs.
Ask the Experts: SSI percentage and eligibility
Rolling averages are one way to benchmark patient SSI eligibility percentages.
Ask the Experts: Contract performance
My organization recently transitioned to its first Ambulatory Payment Classifications (APC)/DRG-based contract with a commercial plan. We are struggling with determining how to monitor the contract’s performance and, in particular, with the primary focus on the APC payment. Are there recommended key performance indicators (KPIs) used to track this performance? Answer: It is likely that your organization…
Analysis: Movement seen on overdue Medicare Discharge Planning Rule
The Medicare Discharge Planning Rule, which was sent to the Office of Management and Budget last week, would require hospitals to provide patients with data to help guide their selection of a post-acute care provider.
Analysis: 4 significant findings from the recent AMGA Physician Risk Survey
HFMA’s Chad Mulvany discusses four findings from the latest AMGA Physician Risk Survey about the transition to alternative payment models and risk.
How to refine medical record sharing to mitigate risk and improve productivity
Careful review of medical record sharing costs and responsibilities stated in managed care contracts can reduce providers' expenses and productivity burden during payer reviews and audits.
Analysis: Comparing commercial hospital rates to Medicare is inappropriate
RAND study says hospitals treating patients with private health insurance were paid 2.4-times the Medicare rates, but Chad Mulvany says Medicare is the wrong measuring stick.