Administrative prior authorization requirements increasingly used to steer patients to lower-cost settings
Hospital finances could be significantly impacted by UnitedHealthcare’s expansion of site-of-service prior authorization requirements going into effect Nov. 1.
Healthcare reform moves to the states: Strategies to increase access and control costs
An increasing number of states are looking to improve access and reduce costs by funneling innovations, such as a public option or reinsurance program, through Medicaid.
Nov. 4-8: A Medicare advisers meeting is among the week’s national healthcare events
The Medicare Payment Advisory Commission’s two-day public meeting is among major healthcare finance events taking place this week.
2 USDA loan programs offer advantages for rural healthcare organizations
Capital Finance: Two rapidly increasing USDA rural loan programs offer many rural hospitals low-interest capital finance options that have fewer requirements than commercial debt.
Where is your health system on the journey to systemness?
Healthcare Innovation: Healthcare organizations should keep track of progress toward operating as a unified system after mergers and acquisitions.
3 ways cost models are a key to success under risk
Business Intelligence: New primary care models can help healthcare organizations achieve financial goals.
Innovative startup works to solve billing problems for patients and providers
HFMA members voted Papaya, a mobile app for patient payment, the most innovative startup at HFMA’s June Annual Conference.
Broad trends are driving the imperative for hospitals to revisit cardiac care
A number of factors have contributed to declining revenue growth for hospitals' cardiac catheterization labs in recent years.
Evolution of the consumer focus in healthcare
The potential benefits of consumer-driven health plans were espoused in the 1990s, and the concept began to be more fully embraced in the past decade.
7 top macro trends impacting providers, insurers and healthcare consumers today
The healthcare industry's shift to a consumerism focus is occurring in parallel with seven significant emerging trends that are affecting providers, insurers and healthcare consumers alike.