Administrative prior authorization requirements increasingly used to steer patients to lower-cost settings
Hospital finances could be significantly impacted by UnitedHealthcare’s expansion of site-of-service prior authorization requirements going into effect Nov. 1.
HFMA: CMS transparency effort misses the mark
Podcast: HFMA President and CEO Joe Fifer discusses HFMA’s perspectives regarding a CMS proposed rule that has generated controversy in that it would require the public release of rates hospitals negotiated with health plans.
Obstacles to and progress in improving hospitals’ understanding of their total costs of care were explored in an HFMA executive focus group
Focus group identifies the promise and challenges of total cost of care.
Opponents of Medicare expansion should focus on pitfalls of proposals
Eye on Washington: Challenges to Medicare expansion and "Medicare for All" proposals should address some of the very real potential pitfalls of the proposal, including their projected price tags.
Consumerism strategies: now, near and far
From the President: HFMA President and CEO Joe Fifer outlines strategies for addressing consumerism in three time frames simultaneously.
Vitalware: An all-encompassing, single-platform chargemaster solution
A leading chargemaster company discusses how its technology helps hospitals operate more transparently, price strategically and confidently run a compliant and efficient revenue operation.
Top revenue cycle challenges and opportunities
Important learnings from a September 2019 HFMA study about the impact of EHRs, consumer self-pay and IT budgets on revenue cycle operations.
Revenue cycle technology trends
The results of a September 2019 HFMA study about revenue cycle challenges and opportunities and how hospitals and health systems are addressing them.
More Medicaid programs increase hospital payment rates
More states have moved to increase hospitals’ Medicaid rates than to cut them — reversing a pattern from the last fiscal year.
Cup of Joe: Strata Decision Technology CEO Dan Michelson
In this episode sponsored by Strata Decision Technology, CEO Dan Michelson talks about the future of value-based care and the joint effort between HFMA and Strata to introduce the industry's first cost accounting adoption model.