Social determinants of health ROI challenges are not yet outweighing potential benefits to patients
The continued shift to value-based care ensures health providers will continue to address SDOH factors.
Why health systems need a hybrid strategy and ambidextrous leadership to ensure financial sustainability
In today’s complex healthcare environment, health systems require an effective hybrid strategy that accounts for the fundamental differences among the various markets in which they compete, including inpatient, population health and emerging markets.
Quality is table stakes, but patient financial experience of care is key to future referrals
A high-quality patient financial experience of care is key to a steady stream of referrals.
Compromise on surprise medical bills is coming, congressional staff say
A compromise solution for surprise medical bills is nearing and could include costs for both providers and health plans.
How pharmacists can play a role in curtailing the rising cost of drug therapy
Evidence shows improved collaboration between clinical pharmacists and prescribing physicians can help mitigate problems with selection, adherence and overutilization of pharmaceuticals, which cost the nation hundreds of billions of dollars each year.
Inpatient market consolidation has led to stable inpatient markets in metro areas I HFMA
After a period of rapid consolidation, U.S. metro inpatient markets are now stable oligopolies, with a small number of competing provider systems selling inpatient services to a small number of health insurers.
Realizing the economic benefits of a merger starts with integrating post-merger operations
After a merger, a healthcare organization needs to take specific steps to ensure that transaction delivers the intended economic benefits.
“Medicare for All” isn’t equitable for all hospitals
A payment model in which 100% of payments are based on Medicare rates should take into account the inherent disadvantages of such an approach for the large hospitals, including academic medical centers, that provide most Medicare outlier cases.
Not like the others: House Ways and Means surprise bill legislation
Provider friendly House Ways and Means surprise bill draft legislation doesn't rely on a benchmark payment rate like competing versions.
Implications for a CFO-led strategic response to a Medicare-based payment system
If a payment model that bases payment on Medicare rates is adopted, CFOs should prepare for its financial implications by implementing a modified benchmarking system that accounts for outliers.