Why Healthcare Forecasting is a Combination of Art and Science
A healthcare forecast is based on an analysis of related costs and trends, but a forecaster’s predictions also should consider the possibility of future crossroads where several vectors of change intersect.
Healthcare without walls: making the vision a reality
A healthcare policy expert describes a vision of care that relies more extensively on virtual platforms and community settings.
Revenue integrity: an evolving function for hospitals and health systems
Hospitals and health systems require a revenue integrity function to best manage revenue cycle processes in today’s healthcare environment.
Analysis: Healthcare industry implications when more private-equity groups buy specialty physician practices
As more private equity groups get involved in healthcare deals, industry insiders express concerns about possible negative impacts on healthcare as a whole.
Analysis: CMMI primary care initiatives: Potential opportunity but lots of questions
The five new alternative payment models offer multiple participation options for primary care practices of different sizes with advanced capabilities.
Summary checklist for assessing readiness for value-based care
Healthcare finance leaders should use a checklist to assess their readiness to pursue value-based contracting.
A timeline guide to developing an ACO/CIN
Healthcare organizations seeking to establish a an accountable care organization (ACO) or clinically integrated network (CIN) should allow for an eight-year, five-phase process
Deceased Medicare beneficiary admissions: Accounting for the causes and impacts
Just over 3 percent of Medicare admissions end with the death of the patient. This finding is based on data from fiscal years 2015 through 2017 reported in the Medicare Provider Analysis and Review (MedPAR) file. As would be expected, the time and resources required to treat a beneficiary who is near death and ultimately…
Provider nimbleness required for diverse value-based healthcare models
Many providers are in the throes of implementing strategies for value-based health care. But now they must adapt to an environment characterized by diverse value-based care models, new players, and more data to discern provider value. To weather the next decade, the key attribute providers will need is nimbleness—a challenge in an industry not known…
Reconsidering post-acute care options
HFMA President and CEO Joe Fifer highlights the need to consider post-acute care in the context of reducing the total cost of care.