Healthcare Finance and Business Strategy

Articles focused on financial planning, business strategy, growth initiatives, mergers and acquisitions, and organizational performance in healthcare.

HFMA recognized by multiple organizations for exceptional education, editorial and website

The Healthcare Financial Management Association (HFMA) has received numerous awards for its innovative educational program, editorial content and high-quality website.

By Deborah Filipek July 2, 2024

Annual Conference Day 4: Geeta Nayyar discusses information gaps and the promise and perils of technology

Applications of technology and the purveyance of information are key issues impacting the efficacy of the healthcare system, author and healthcare technology expert Geeta Nayyar, MD, MBA, explained during Thursday’s keynote session in Las Vegas. In a sit-down discussion with HFMA President and CEO Ann Jordan, Nayyar described working at the intersection of medicine and…

By Nick Hut June 27, 2024

Annual Conference Day 3: UnitedHealth, Optum executives discuss resilience strategies for healthcare

Especially after being on the front lines of the most impactful cyberattack to hit the healthcare industry, leaders with UnitedHealth Group (UHG) and Optum have plenty of thoughts on how stakeholders can shore up their defenses. UHG is the parent company and Optum a sister company of Change Healthcare, which was the target of a…

By Paul Barr, CRCR, MS, MBA June 27, 2024

Annual Conference Day 2: Keynote speaker Suneel Gupta expounds on the importance of recharging

Rest and breaks from work should be viewed not as a reward, but as a resource that supports performance, Suneel Gupta, wellness CEO, best-selling author and visiting scholar with Harvard Medical School, told HFMA Annual Conference attendees during Tuesday’s keynote presentation in Las Vegas. “When we look at the science behind human performance, what we…

By Paul Barr, CRCR, MS, MBA June 26, 2024

Annual Conference Day 1: HFMA, AHA leaders hold forth on the state of the healthcare industry

HFMA’s 2024 Annual Conference began Monday afternoon with HFMA’s Ann Jordan and the American Hospital Association’s Rick Pollack rallying attendees to address the profound challenges and opportunities facing the industry. To start, Jordan, HFMA’s president and CEO, highlighted the conference theme, “A New Frontier in Health.” Frontier is “an exciting and unsettling word that really…

By Nick Hut June 25, 2024

Preventive-services coverage mandate for Affordable Care Act plans remains intact following appeals court ruling

In a decision that could have been consequential for health insurance coverage offered through the Affordable Care Act (ACA) marketplaces, an appeals court limited the immediate impact. The U.S. Court of Appeals for the Fifth Circuit upheld a lower-court ruling that preventive-care mandates for ACA health plans are unconstitutional. But the appeals court said the…

By Nick Hut June 24, 2024

David Johnson: Walmart Health’s demise is emblematic of the nation’s primary care conundrum

Walmart’s announcement on April 30 that it was pulling the plug on Walmart Health stunned the healthcare ecosystem.a Few saw it coming. Launched amid much fanfare in 2019, Walmart Health has operated 51 health centers in five states, with a robust virtual care platform. Walmart’s news release noted that “the challenging reimbursement environment and escalating…

By David W. Johnson June 19, 2024

Health system success depends on effective integration of APPs

Effectively leveraging advanced practice providers (APPs) within a health system’s ambulatory and inpatient settings can improve patient access and throughput and support volume growth. APPs have a rapidly growing presence within the clinical workforce. Consider these statistics: With median salary and fringe benefits for APPs approaching $200,000 a year, health system leaders can no longer…

By Bonnie Proulx, DNP, APRN, PNP-BC, FAAN June 19, 2024

CMS’s 2024 MA rule brings some improvements but falls short of addressing all providers’ concerns

Hospitals and other healthcare providers welcomed CMS’s release in 2023 of the 2024 Medicare Advantage and Part D final rule (CMS-4201-F).a The rule represents CMS’s effort to refine the practices of MA organizations by placing limitations on prior authorization, elevating requirements for provider directories and making comprehensive adjustments to the MA and Part D quality…

By Mattie Smith, JD June 19, 2024

Personalized communication helps State provide the highest possible recovery and patient-satisfaction rates for clients

Learn about a company that combines advanced technology with human interaction to increase recoveries and patient satisfaction.

By HFMA June 4, 2024
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