Cost Effectiveness of Health

Enterprisewide physician advisor programs are key to improving costs and revenue cycle performance

Making sure physicians understand the financial implications of how they document their care is critical to a health system’s financial sustainability.

James P. Fee, MD, CCS, CCDS April 26, 2023

Healthcare disruptor Glen Tullman says providers need more of a consumer-centric approach

One of the country’s most prominent healthcare entrepreneurs has a warning for legacy healthcare stakeholders. “Many of you in the audience are leading major health systems, and you’re the hub for healthcare today,” Glen Tullman said during a presentation at the HIMSS Global Health Conference and Exhibition, which took place the week of April 17…

Nick Hut April 25, 2023

Why more is needed to address America’s most prevalent “illness”

Every winter during respiratory illness season, emergency departments (EDs) fill with sick patients. And this past December was no exception, with occupancy surges during a “tripledemic” of COVID-19, respiratory syncytial virus (RSV) and the flu indicating that the problem is only getting worse. But why? There’s not nearly enough discussion of the culprit. It’s poor…

David Wheeler, MBA, MS April 21, 2023

Laurie Beyer: Routine rounding helps yield financial improvements

If you want to reach Laurie R. Beyer, MBA, CPA, executive vice president and CFO at GBMC HealthCare in Maryland, avoid any time between 9 a.m. and 10 a.m. Tuesday through Friday. No matter what time of year it is, she will be unavailable to take your call during those times because she will be…

Steven Berger, FHFMA April 21, 2023

Joe Fifer: The courage to embrace change

During one of my first meetings with HFMA staff in 2012, I advised the assembled staffers that if they thought they’d be sitting next to the same people and doing the same things in a year’s time, they were probably mistaken. When I noticed people squirming in their seats, I hastened to add that I…

Joseph J. Fifer, FHFMA, CPA April 21, 2023

Michael Giardina: Why promoting a fitness approach like CrossFit should be a goal for all U.S. health systems

Healthcare organizations that are committed to value-based payment must focus on promoting health – within their patient populations as well as within their communities. And to successfully fulfill the value imperative and achieve the larger goal of cost effectiveness of health (CEoH), hospitals and health systems must partner with outside organizations that share their commitment…

Eric C. Reese, PhD April 21, 2023

Hospitals are facing a long slog to return to pre-pandemic normalcy, panelists say

The logjam of patients who cannot be seen expeditiously at hospitals is becoming an entrenched problem with no imminent solutions, a CMS leader said this week. “The data tells us healthcare services, particularly for the Medicare population, have not come back to pre-pandemic levels,” said Jonathan Blum, principal deputy administrator and COO with CMS. “We’re…

Nick Hut April 21, 2023

State of Medicare: Some good news on program solvency still leaves questions and challenges

Medicare should remain solvent a little bit longer than previously anticipated, while a policy debate is ramping up over how to make the program sustainable for the long term. The 2023 annual report of the Medicare Boards of Trustees projects that the Hospital Insurance (HI) trust fund, which subsidizes Part A services, essentially will be…

Nick Hut April 17, 2023

David Johnson: Academic medicine, where privilege compounds dysfunction

Academic medicine combines healthcare with higher education, the two U.S. economic sectors that have exhibited outsized cost growth over the past 50 years. The result is a stunning disconnection between academic medical center (AMC) business practices and the supply-demand dynamics reshaping healthcare delivery. Market, technological and regulatory forces are pushing the healthcare industry to deliver…

David W. Johnson April 14, 2023

Hospital operational changes underway as health equity becomes one of The Joint Commission’s National Patient Safety Goals

Reducing healthcare disparities became a Joint Commission accreditation standard (LD.04.03.08) on Jan. 1, a little more than a year after the organization issued a Sentinel Event Alert warning of impacts on patient safety. However, on July 1, the standard will become a National Patient Safety Goal (NPSG), which experts say points to one thing: Healthcare…

Lisa A. Eramo, MA April 10, 2023
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