Innovation and Disruption

Provider nimbleness required for diverse value-based healthcare models

Many providers are in the throes of implementing strategies for value-based health care. But now they must adapt to an environment characterized by diverse value-based care models, new players, and more data to discern provider value. To weather the next decade, the key attribute providers will need is nimbleness—a challenge in an industry not known…

Theresa Hush May 19, 2019

Analysis: UnitedHealthcare expands MA bundled payment plan offerings for 2020

HFMA’s Chad Mulvany says UnitedHealthcare’s move to expand its bundled payment offerings to providers in its Medicare Advantage plans in more than 30 states is a step in the right direction in support of providers’ efforts to transition to value-based payment models.

Chad Mulvany, FHFMA May 15, 2019

Analysis: N.C. House of Representatives stalls reference-based pricing plan

HFMA’s Chad Mulvany looks at the trend of states basing (or considering basing) hospital and physician service payment rates for employees on a percentage of Medicare.

Chad Mulvany, FHFMA May 15, 2019

Analysis: CVS, Walgreens look to the chronically ill for a pharmacy cure

HFMA’s Chad Mulvany looks at how insurers’ claims data could be used by CVS and Walgreens walk-in clinic care teams to flag high-risk patients and provide tailored care plans.

Chad Mulvany, FHFMA May 15, 2019

Analysis: Controlling access to control costs

Health-plan-based primary care offerings may be challenging conventional wisdom related to population health.

Chad Mulvany, FHFMA May 15, 2019

Analysis: Kaine, Bennet public option health plan

HFMA’s Chad Mulvany reviews some possible short- and long-term outcomes of the public option health plan proposal by Senators Tim Kaine and Michael Bennet last week.

Chad Mulvany, FHFMA May 15, 2019

Analysis: What nonprofit hospitals should do to compete with healthcare industry disruptors

Health systems can effectively respond to nontraditional healthcare competitors in this review of findings from a Fitch Report of nonprofit hospital ratings.

Chad Mulvany, FHFMA May 15, 2019

Analysis: Why the U.S. healthcare system will ultimately move to population-based primary care models

Moving to alternative payment models and other preventative measures could help the U.S. address alarming chronic disease projections.

Chad Mulvany, FHFMA May 15, 2019

Analysis: Wide pricing disparity in common healthcare services

Patients/consumers tired of wide price variation and secrecy of prices for commodity lab services are open to alternatives provided by market-based or policy-focused disruptors.

Chad Mulvany, FHFMA May 14, 2019

HFMA Helps Convert Imagination into Innovation

HFMA highlights innovative ways healthcare finance professionals are using technology to lower costs, improve care, and increase patient satisfaction.

Kevin Brennan, FHFMA, CPA January 23, 2019
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