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.
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.
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.
Imagining the Healthcare Revenue Cycle of Tomorrow
HFMA will be source for all things required to create the healthcare revenue cycle of tomorrow.
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.
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.
Marshfield Clinic Finds Success with Home Recovery Care
Marshfield Clinic’s home-hospitalization program is replicating the results that other hospital-at-home initiatives have shown: high patient satisfaction, good clinical outcomes, and significantly lower costs of care.
Just How Different Is the Healthcare Market?
Healthcare stakeholders should start treating consumers in the same manner as other industries that operate more like free markets, writes Joseph J. Fifer, president and CEO, HFMA.
Collaborating With Your CEO
CEOs want CFOs who can think strategically, not just operationally. Today's CFOs should have an eye toward advancing clinical quality, patient satisfaction, employee engagement, and financial stability goals.
Health Systems Share ‘Pearls of Innovation’
A recent investor conference featured presentations by 27 tax-exempt health systems. Common threads include quality and safety and consumer focus.