Cost Effectiveness of Health

Navigating change: Implications of CMS’s 2021 Physician Fee Schedule

Changes to the CMS Physician Fee Schedule for 2021 require immediate deliberation by provider organizations with respect to how they will structure their physician compensation arrangements.

Patty Bohney, CVA, MBA February 19, 2021

Hospitals enjoy greater flexibility in compensating physicians for value-based care

New regulations effective Jan. 19, 2021, afford hospitals, providers of certain ancillary services and accountable care organizations they own significantly greater flexibility to compensate physicians for collaboration on value-based care initiatives.

Max Reynolds, JD February 19, 2021

Financial Sustainability Report: January 2021

The January Financial Sustainability Report, sponsored by Kaufman Hall, examines the recent expanded interest in hospital-at-home programs, and their potential benefits. It also includes insights on the critical impacts of the coronavirus pandemic on people already adversely affected by social determinants, and on the need to address administrative was in the healthcare caused by onerous prior authorization processes.

HFMA January 29, 2021

Real strategy for healthcare real estate

Hospital and health system leaders should devote the same level of strategic focus and analytical rigor to their organizations’ real estate as they apply elsewhere within the enterprise.

Matt Robbins, CFA January 22, 2021

Have hospital-at-home programs finally come of age?

The COVID-19 pandemic has significantly accelerated interest in developing and expanding hospital-at-home programs. For healthcare organizations that are pursuing risk-based contracting with an APM, a hospital-at-home program offers the potential to improve care and reduce costs for a segment of the patient population.

M. Orry Jacobs January 22, 2021

340B Program success depends on the quality of self-auditing

Healthcare organizations participating in the 340B Drug Pricing Program should self-audit of their compliance with the program to ensure its ongoing success and effectiveness.

Brian Matney, CPA, CHFP December 22, 2020

Financial Sustainability Report: December 2020

The December 2020 Financial Sustainability Report, sponsored by Kaufmann Hall, examines hospitals’ and health systems’ growing imperative, driven by COVID-19, to pivot their OR strategy to the ambulatory care arena. Other content explores new initiatives focused on SDOH and new opportunities to reduce costs of physician credentialling through collaboration enabled by distributed ledger technology.

HFMA December 17, 2020

Determining cost of capital can be a tricky matter for not-for-profits

An important question for healthcare finance leaders is, “What is our cost of capital?” The answer to this question, however, is not at all straightforward and ultimately depends on context, with tax exemption possibly hanging in the balance.

Richard Rollo December 17, 2020

3 ways hospitals need to pivot their OR strategy in the wake of COVID-19

To maintain OR procedural revenue in the years following COVID-19, hospitals and health systems require a new surgical services strategy led by physicians and characterized by a focus on ambulatory care, with a strong emphasis on improving the patient experience and overall OR process efficiency.

Jeff A. Peters December 17, 2020

How health systems can avoid unforeseen obstacles during a merger

When pursuing a merger and acquisition (M&A) transaction, merging parties should engage in intentional integration planning to avoid potential barriers that can dampen new organization's promise. Ideally, integration planning starts with developing a strong business case and continues through the pre-close transition and efforts to combine operations within the new organization.

HFMA December 17, 2020
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