Healthcare Finance and Business Strategy

Articles focused on financial planning, business strategy, growth initiatives, mergers and acquisitions, and organizational performance in healthcare.

CMS warns a common hospital price transparency approach is noncompliant with new requirements

Many hospitals are using a rate-averaging approach to meet transparency requirements, which CMS recently deemed noncompliant.

By Rich Daly December 28, 2020

CMS plans aggressive price transparency enforcement while hospitals urge a halt to the new rules

CMS plans aggressive enforcement of the looming hospital price transparency requirements, as hospitals urge judicial and Biden administration interventions.

By Rich Daly December 23, 2020

Congress passes funding compromise with only $3 billion in provider aid

A final federal spending and coronavirus relief package includes big wins and losses for hospital finances.

By Rich Daly December 22, 2020

Provider responses to prospective compromise on surprise billing range from concerns to opposition

Congressional healthcare committees are urging leaders to include a “compromise” on surprise medical bills in year-end legislation, but providers are worried about it.

By Rich Daly December 21, 2020

3 tactics for unlocking value in healthcare operations

Three organizations share their approaches and results from case studies they presented at the HFMA Digital Annual Conference around solutions driving improved operational and revenue cycle performance in healthcare.

By HFMA December 18, 2020

Reimagining the healthcare supply chain to bolster resilience and efficiency

In response to the COVID-19 pandemic, healthcare supply chain leaders are considering new approaches to sourcing, inventory management, analytics and technology.

By Nick Hut December 18, 2020

Climate Change: Could it give rise to the next viral disease outbreak?

Health systems should continue to be be cognizant of the potential risks they face from global warming, which include not only more violent and frequent storms but also increased vulnerability within their areas to mosquito-borne diseases.

By Eric C. Reese, PhD December 18, 2020

The healthcare value imperative: All eyes on North Carolina’s move to value-based payment

Hospitals and health systems nationwide can benefit from the insights of North Carolina health system executive whose organizations are leading the way in the state’s transition to value-based payment.

By Eric C. Reese, PhD December 18, 2020

SDOH: An emerging population health priority

In recent years, public health and not-for-profit organizations have focused on addressing social determinants of health (SDOH) and their impact on individuals’ wellness and ability to access healthcare services. Progress has been slow to date, but recent initiatives suggest use of effective approaches to addressing SDOH is gaining momentum.

By Pam Nicholson, MBA December 18, 2020

Medicare Advantage concepts come to Medicare fee-for-service with Geographic Direct Contracting Model

While the MA Stars Rating program is a bonus program where plans can earn additional revenue for achieving high scores, quality in the Geographic Direct Contracting program is treated more like a penalty, says HFMA's Chad Mulvany.

By Chad Mulvany, FHFMA December 17, 2020
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