How one ACO leveraged universal truths of value-based contracting for success
A finance leader of successful East-coast accountable care organization describes the key factors that have enabled the ACO to thrive under value-based payment contracts.
Revenue Cycle Strategist November 2019
The November 2019 issue of Revenue Cycle Strategist newsletter features articles on patient experience, coding and denials management.
Taking patient experience beyond clinical care
As patients pay more out-of-pocket healthcare costs, financial services influence patient experience, perceptions and actions.
Administration finalizes requirement for hospitals to post rates paid by health plans
A newly finalized requirement will require hospitals to post rates that are privately negotiated with health plans, as well as rates for a list of 300 “shoppable services.”
Financial investment in SDOH is not all it will take to help patients
It’s laudable that health systems are committing to funding social determinants of health efforts, but managing interventions for patients will require more deliberate integration, linking of efforts and data sharing.
Analysis: Haven’s first moves: Benign or disruptive?
The rollout of Haven insurance in 2020 for the 1.2 million combined employees of Amazon, JPMorgan Chase and Berkshire Hathaway should not be dismissed by other industry players.
Federal policy drives hospital-practice deals but not M&A between hospitals, MedPAC finds
Federal policy is not driving hospital M&A but is encouraging hospital purchases of practices, a key congressional advisory group said.
Analysis: Private equity interest in orthopedics increases
Demographics and payment policy are the main drivers of the surge in private equity deals involving orthopedics practices in 2019.
How hospital quality executives are pitching value-based payment to CFOs
Healthcare quality-improvement executives see ways in which an emphasis on value can improve some hospitals’ finances.
Who’s afraid of the federal debt?
A review of the possible implications for alternative payment models and provider payment rates in the wake of the national debt cresting at $1 trillion with a possible recession looming.