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.
A single-payer system based on Medicare rates poses inherent challenges
A payment model under which 100% of payments are based on Medicare rates r\aises important questions of how to fund such a plan.
Trump administration details hospital spending plans in FY21 proposed budget
The Trump administration signaled its federal healthcare spending priorities in its proposed annual budget, which includes a slew of hospital cuts.
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.
Hard truths about the state of the healthcare industry
HFMA's president and CEO, Joseph Fifer, provides a straightforward assessment of likely changes to come in healthcare in the 2020s and what healthcare executives should do to to prepare.
Novant Health: Shared reading program is a novel way to influence culture
Novant Health in North Carolina uses a shared reading program to engage team members, with books chosen to support either a system initiative or personal development.
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.
How Cigna aims to limit healthcare spending increases to mirror the consumer price index
One of the nation’s largest health plans aims to cut spending increases on healthcare services to align with the consumer price index by the end of 2021.
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.