Cost Effectiveness of Health

CMS Administrator Seema Verma receives HFMA’s Board of Directors Award, talks with CEO Joe Fifer

At HFMA's Digital Annual Conference, President and CEO Joe Fifer presented CMS Administrator Seema Verma with the Association's highest honor: the Richard L. Clarke Board of Directors Award in recognition of her outstanding contributions to healthcare in a role that involves oversight of a $1 trillion budget, representing 26% of the total federal budget, and administration of health coverage programs for more than 130 million Americans. Following the presentation, Fifer and Verma had a Q&A session in which she addressed price transparency, the pandemic, and the future of value-based care.

Erika Grotto October 12, 2020

How to build a resilient not-for-profit healthcare company

To build a resilient organization that can withstand adverse changes to its core business model, leaders should create a foundation for absorbing first shocks of dislocation by breaking the company into three components: an operating company, finance company and investment company.

Eric Jordahl September 28, 2020

Healthcare organizations should expect a surge in managed care audits and reviews in the COVID-19 aftermath

Healthcare providers should prepare for emerging trends in payer audits, reviews and associated information requests, after the brief lull in such activities that occurred with the onset of the COVID-19 pandemic.

Greg Ford September 28, 2020

How to lay the foundations for success under CMS’s new MDC program

The CMS Medicare Direct Contracting (MDC) program offers hospitals and health systems a unique opportunity take the next step in value-based payment and population health management. Success requires the right targeted investments in expertise and infrastructure.

Allen Miller, MPH September 28, 2020

3 contracting strategies to accelerate a COVID-19 financial recovery for providers

Having suffered significant losses due to the COVID-19 pandemic, healthcare providers require effective strategies to achieve a more equitable balance with payers, which have actually enjoyed a financial windfall as a result the pandemic.

Kathy Najarian, MHA September 28, 2020

Telemedicine is exploding, but where is the ROI for health systems?

Telehealth is well on its way to having much broader acceptance and use than was seen at any time prior to the COVID-19 crisis. Yet there continue to be barriers and challenges in its widespread adoption.

Ezra Mehlman, MBA September 2, 2020

Healthcare leaders must take multitasking to an enterprisewide level

The extent to which hospital and health system executive teams can multitask will be a determining factor in whether these organizations will succeed in continuing to manage the ongoing operational and financial threats from the COVID-19 pandemic.

Kenneth Kaufman August 20, 2020

5 factors that will make the next recession different from 2008

Hospitals came through the Great Recession relatively unscathed, but a future recession would likely pose much more severe challenges. It therefore would be prudent for hospitals to act now to protect themselves against future market distress.

Richard Rollo August 20, 2020

How to manage risk-based payment in the era of the global pandemic

To succeed with risk-based contracts through the COVID-19 pandemic and beyond, healthcare organizations require analytic capabilities for modeling the revenue impact of the crisis through all its phases.

Thomas Persichetti, FCA, ASA, MAAA August 4, 2020

Optimal use of APPs can enhance a health system’s post-COVID-19 financial recovery

A strategy by Excela Health in Pennsylvania focused on integrating and optimizing its the advanced practice provider workforce can serve as a road map for how best to pursue such an undertaking.

Zachary Hartsell, DHA, PA-C July 31, 2020
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