When movement isn’t movement: A wake-up call for healthcare finance professionals I HFMA
The results of healthcare finance executives' efforts to drive change will be of little value if they don't also help improve quality, patient experience or cost of care.
Humana partners with private equity firm to expand its primary care capabilities
Humana employing primary care physicians will help improve financial results for its plans by increasing HCC and Stars scores (increased revenue) and reduce medical expenses by improving care management and using claims data to make referrals to lower-cost providers.
What to expect from Medicaid block grant waivers
HFMA's Chad Mulvany says the macro design choice that matters to most to providers in any state that adopts the block grant program will be whether the state chooses the true block grant financing option, or if it selects a per capita cap based on the prior year’s enrollment.
Is Walmart taking a page out of Clayton Christensen’s playbook?
Walmart developing a low-cost service focused on a segment of the market that traditional players tend to avoid – the uninsured and underinsured – may signal ambitions to move further into healthcare delivery.
With millions of physician referrals up for grabs, partnerships with consumer-centric sites of service matter
HFMA’s Chad Mulvany says in today’s competitive environment where traditional referral patterns are at risk of being upended, it’s crucial for health systems to partner with disruptors like CVS to capture these downstream opportunities.
Transforming healthcare through better resource management
A transformative software company discusses how its enterprise resource planning (ERP) solution helps healthcare organizations become more agile, sustainable and consumer-oriented by integrating and strengthening financial, human resource and supply chain functions.
How to mesh employee personality types to foster a successful workplace
Leaders should be aware of different personality types and best practices for managing each.
Analysis: Aspire Health Founder Brad Smith chosen as new CMMI director
The change in CMMI leadership could mean long-anticipated models are released, and may signal more emphasis on palliative care in future models based on Brad Smith’s background.
Capitalize on purchased services’ unusual suspects to enhance revenue
A transformative healthcare company outlines some conventional and unusual strategies for streamlining purchased services spend to expand margins and drive revenue.
Analysis: Advanced analytics company partners with Emory Healthcare
If healthcare providers are going to be successful in lowering the cost of healthcare, they may need to find a partner that can crunch the data to help them understand their cost to deliver care at the case/patient level.