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.
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.
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.
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.
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.
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.
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.
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.
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.
NLRB Expands ‘Joint-Employer’ Concept
Expansion of the joint-employer concept could have implications for hospitals and other providers who use staffing agencies.