Rising out-of-pocket cost of having a baby can impact hospital revenue and reputation
The increase in consumer out-of-pocket costs for having a baby can have a negative impact on both a hospital’s financial performance and its perception in the community.
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.
An interview With Ceci Connolly, president and CEO of the Alliance of Community Health Plans
Ceci Connolly, president and CEO of the Alliance of Community Health Plans, talks about risk and behavioral economics.
Addressing the social determinants of health
Nancy Johnson, CEO of El Rio Community Health Center in Tucson, talks about her organization’s processes for addressing the social determinants of health among its patient population. The interview is a follow-up to a panel discussion at HFMA's 2019 Thought Leadership Retreat. Also in this episode: insights on effective leadership of teams and pricing strategy objectives.
Atrius Health: Experience with global-risk contracts paves way to success in new arrangement
Previous success in risk-based contracts will allow Atrius Health to thrive in its new global-risk arrangement with Blue Cross Blue Shield of Massachusetts, two of the provider’s leaders write.
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.
Cautionary tales: Why some payer-provider initiatives have stumbled
Health system leaders that are considering launching a provider-sponsored health plan can take a lesson from the experiences of organizations that faced challenges in pursuing such a strategy.
8 stages to service line growth
With its emphasis on quality, efficiency, and physician-hospital alignment, the service line model fits well in the healthcare leader’s value-oriented toolkit. Hospitals and physicians have used a service line approach for decades to provide efficient, high-quality care to well-defined, patient populations: Patients with related diseases or conditions (e.g., cardiovascular, orthopedic). Patients in specific life stages…
Many voters oppose giving government authority to set all healthcare prices
More voters oppose broad government rate-setting than support such an approach to addressing healthcare cost increases, according to a poll.
More physicians shift from MIPS to APMs in Medicare
Increasing numbers of physicians paid by Medicare are shifting from the default quality-reporting-based payment option to earning bonus payments by participating in other payment models.