Trends

Finding Success in the Physician Feedback Program/Value-Based Modifier

By taking certain steps, physician practices can make the most of CMS’s quality outcome feedback and payment program.

Andis Robeznieks February 11, 2016

Should Your Health System Sponsor a Health Plan?

Hospitals and health systems considering sponsoring a health plan must first decide whether they can balance cost and quality before looking at tradeoffs between revenues and the attractiveness of premiums.

Chris Anderson February 10, 2016

How CHRISTUS Health Supports Exchange Enrollment

CHRISTUS Health appoints regional executives who work with coalition partners to reach market-specific health insurance exchange enrollment goals.

Lola Butcher February 9, 2016

Negotiating Tips for ACO Contracting

Successful payer negotiations to launch commercial ACOs will depend on careful preparation and understanding of hospitals’ capabilities, says George Wojtal.

Karen Wagner January 12, 2016

Cash Recovery: How Richmond University Medical Center Repaired 6 Areas to Boost A/R

Richmond University Medical Center increased revenue by $19 million over a three-year period by improving preauthorization and registration flow and developing committees to work with payers, among other strategies.

Erin Murphy January 11, 2016

New-Era Planning Analytics: Assessing Population Health Management Market Opportunity

Planning analytics allow organizations to determine the optimal timing for moving to population health management and value-based arrangements.

HFMA January 8, 2016

Concerns Raised Over Changes to 340B Program

As healthcare stakeholders await expected 340B Drug Pricing Program changes, Henry Ford Health System shares how it structures its related compliance efforts.

J. Stuart Showalter January 6, 2016

Geisinger’s Money Back Guarantee Targets Patient Experience

By offering a money-back guarantee for service, Geisinger Health System hopes to learn how to achieve 100 percent patient satisfaction.

Karen Wagner January 6, 2016

Utilization Review Reduces Inpatient Denials

Covenant Health’s utilization review strategies have helped the health system recoup the difference between inpatient and observation status payments.

Karen Wagner November 17, 2015

NLRB Expands ‘Joint-Employer’ Concept

Expansion of the joint-employer concept could have implications for hospitals and other providers who use staffing agencies.

J. Stuart Showalter November 10, 2015
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