Launching Revenue Integrity Programs in Hospital-Owned Practices
University of Maryland St. Joseph Medical Center’s revenue integrity program ensures a formal process to perform regular audits and educate physicians and their staff about compliance, and under-coding as well as over-coding.
An Ounce of Prevention: Intervention Engagement Strategies in Population Health Management
Pete Desai explains that as consumerism and value-based care collide, providers would be remiss to neglect the important role that preventive patient intervention programs can play in improving the health of patient populations.
Time to Reassess: Keeping Up with Changes to CJR Target Pricing
Performance improvement targets have shifted again in the Comprehensive Care for Joint Replacement (CJR) program. Darcie Hurteau explains why participants should reassess their program strategies in light of this change.
MA Plan Options Surge as Premiums Fall
Oct. 1—The number of available Medicare Advantage (MA) plans will increase by 19 percent in 2019, while average premiums will decline by 6 percent, according to new federal data.
Using Business Intelligence to Succeed in Value-Based Care
Gain buy in for value-based care by picking a few key areas to cost and monitor. A few easy wins builds momentum and confidence across a healthcare organization.
Addressing Health Disparities by Promoting Achievement in Disadvantaged Students
Barry D. Mann describes a national program that Main Line Health initiated to engage disadvantaged high school students in learning about healthcare operations and career possibilities.
It’s all connected
Efforts to improve the patient financial experience should not be undertaken in isolation. HFMA President and CEO Joe Fifer explains why.
Target Setting: A Case Example with Risk Adjustment
By considering risk as they set financial targets for physician groups under value-based payment contracts, provider organizations can more accurately assess the likelihood that physician groups might have favorable performance under the contracts.
The ongoing pursuit of better payment models
HFMA will be your source for all things related to payment trends, as it may be one of the hottest topics in our industry.
Understanding the System Bottom Lines for Market-Based Primary Care
The concept of primary care is being transformed by changes to its subsystems related to demand, supply, organization, and linkages.