Healthcare Finance and Business Strategy

The Providence St. Joseph Health system sees healthcare delivery through consumers’ eyes. “We are trying to learn when patients want to see us, what they are looking for, and what kind of friction do they encounter when they interact with us in the traditional way?” says Sunita Mishra of Express Care, the health system’s retail clinic arm.

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

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.

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

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

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.

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.

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.

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

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.