Healthcare Finance and Business Strategy News

4 KPIs to Increase Profitability Under Value-Based Payment Models

Revenue cycle KPIs are evolving to assist healthcare finance leaders determine net profit rather than revenue.

By Lisa A. Eramo September 10, 2018

Congress Seeks Answers on Hospital Consolidation

Sept. 4—The trend of hospital consolidation has drawn increased scrutiny from members of Congress who are concerned about increasing costs for Medicare and the program’s beneficiaries.

By Rich Daly September 5, 2018

The Future of Consumerism

HFMA President and CEO Joe Fifer discusses rising consumer expectations in health care and what it will take to meet them.

By Joseph J. Fifer, FHFMA, CPA August 31, 2018

Balancing Innovation and Delivery

As healthcare organizations look toward moving into the next phase of innovation, they must not lose sight of their core mission.

By Brandon Klar, MHSA August 29, 2018

5 DRGs Are Primary Contributors to Rising Average Loss per Medicare Hospital Admission

Among Medicare admissions in 2015 to 2017, costs per admission rose more rapidly than did payments, and the impact of this trend on hospitals’ financials strongest with admissions associated with 5 DRGs.

By HFMA August 29, 2018

Administration Meets Challenge to Risk-Adjustment Payments, Counter to Critics’ Assumptions

Responding to a New Mexico district court’s ruling against the risk-adjustment program established by the Affordable Care Act, CMS initially put the program’s payments to collections and payment on hold, but then took steps to reinstate the program.

By Gail R. Wilensky August 29, 2018

Protecting Against Cybersecurity Threats

With the increasing sophistication of cyberattacks in health care, hospitals and health systems must make sure they have effective cybersecurity infrastructures to protect themselves and their patients from such attacks.

By David Lee, JD August 29, 2018

Imagining the Healthcare Revenue Cycle of Tomorrow

HFMA will be source for all things required to create the healthcare revenue cycle of tomorrow.

By Kevin Brennan, FHFMA, CPA August 29, 2018

Revenue Cycle Outsourcing Requires Attention to Service Standards and Risk-Based Arrangements

When a healthcare provider chooses to outsource management of its revenue cycle, it should first make sure the arrangement with its vendor partner is well-designed, with clearly defined terms and financial incentives. 

By David A. Wofford August 29, 2018

High-Deductible Plans Surge: CDC

Aug. 28—Despite recent data indicating a reversal in the trend toward high-deductible health plans (HDHPs), a national federal survey found enrollment surged in 2018 to include nearly half of the privately insured. 

By Rich Daly August 29, 2018
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