Clinical Audits and Denials Research Report
HFMA, with sponsorship by MRO, surveyed 317 healthcare revenue cycle, finance and accounting executives to understand how organizations are handling claim audits, risk exposure, claim tracking, and reserves.
Healthcare organizations need a better way to measure ROI of health equity investments
Healthcare organizations’ investments in health equity can deliver a meaningful ROI, but identifying the financial benefits of such investments requires an expanded framework for analysis beyond criteria used in a standard ROI analysis.
How healthcare organizations can take the lead in the nation’s quest to improve health equity
Improving health equity in the United States is a challenge that is beyond the ability of the healthcare to meet on its own. But many of the ways our healthcare system currently operates exacerbate health inequity — and that is a problem we can cure.
Physicians and finance: Managing the differences is critical to building clinical value
To work together effectively, finance and clinical leaders must not only understand but also value and acknowledge the benefits to be gained from their different perspectives on what constitutes success.
Road to value begins with addressing social determinants of health
Lance Robertson, a former HHS leader, is encouraged by the federal response to the nation’s need to address problems such as health inequity, increased health risk and avoidable high costs for populations that are adversely affected by social determinants of health (SDoH). He sees addressing SDoH as a necessary preliminary step on the nation’s journey to achieving value in healthcare.
Why health systems may find an acute care at home strategy attractive
The potential for improved outcomes is just one important reason to consider pursuing an acute care at home strategy. Even in the absence of payment, health systems may ultimately find pursuit of such a strategy beneficial.
Provider Relief Fund update: Second reporting deadline looms as the fund nears depletion
Healthcare organizations that received Provider Relief Fund payments between July 1 and Dec. 31, 2020, have until Thursday, March 31 to report on their use of those funds.
MedPAC says 2023 hospital payments shouldn’t increase in response to COVID-19
CMS shouldn’t increase Medicare payments to hospitals for the upcoming year beyond the annual update that is based on current law, according to the Medicare Payment Advisory Commission.
Latest hospital financial and jobs data reflect an environment that remains challenging
January financial data for hospitals show the continuing toll of the COVID-19 pandemic, while February labor numbers suggest an operational recovery that could further increase expenses.
Home-based care is ripe for innovation and implementation post COVID-19
Despite the havoc the COVID-19 pandemic created for hospitals, it also created an opportunity for many important lessons learned on how care can be delivered more efficiently and cost effectively in patients’ homes.