Healthcare Finance & Business Strategy News

Ask the Experts: CJR Physician Gain Sharing Agreements

Are boilerplate CJR physician gain sharing agreement templates available or should agreements be created from scratch?

By HFMA April 12, 2018

Top 5 Factors Essential for Pharmacy Revenue Integrity

Maintaining pharmacy revenue integrity requires accurate, longitudinal data; physicians who understand how their prescribing decisions affect revenue integrity; and real-time data. With that information, finance leaders can determine the ROI of various drugs.

By William Kirsh April 11, 2018

How Innovation Can Start with Value Analysis … But Often Doesn’t

Value analysis committee ROI calculations must look beyond the immediate economic costs of payment, cost-per-procedure, and cost of labor to consider overall value to hospitals. For example, questions to ask include, “How does a new product help to reduce the overall cost of care?” and “Are there complications and readmissions that typically arise beyond 30 days that the new product aims to minimize?”

By Karen Root April 11, 2018

Overcoming Missed Opportunities with Forward-Thinking VACs

VACs can be influential forces in infusing greater quality and cost controls over departmental purchases.

By Karen Root April 11, 2018

Taking Steps Toward Improved Customer Experience

The study reveals that patients feel as obligated to pay their healthcare providers as they do other professional services; however, their understanding of what they owe, when they owe it, and their options to pay are far less clear.

By Kermit S. Randa April 10, 2018

How Geisinger Maintains Strong Revenue Cycle Performance During M&As

Geisinger Health System leaders have been able to return to previous revenue cycle performance levels within 90 days or less during their integrations. Their strong performance continues today as demonstrated by the health system’s award-winning revenue cycle department.

By Laura Ramos Hegwer April 10, 2018

Some M&A Transactions Reduce Costs

More than two thirds of hospital merger and acquisition transactions accomplish at least some of their cost reduction goals, according to a recent survey of financial executives by Deloitte and HFMA. However, savings can take several years to realize. Approximately 40 percent of respondents said they achieved 25 percent or more of their cost-reduction goals. Hospital Finance Executives Report Cost Savings from M&As

By HFMA April 10, 2018

Three Factors to Consider in Developing High-Performing Ambulatory Care Networks

Craig Holm and Meredith Inniger explain how and why to address optimal service mix and configuration, innovative delivery models and approaches, and consumer orientation.

By Craig Holm April 6, 2018

Amazon in Health Care? Yawn . . .

The recently announced Amazon-Berkshire Hathaway-JPMorgan Chase affiliation has been widely discussed an important development in health care, but it would not likely have enough control and leverage to bring about meaningful change.

By Jeff Helton,  PHD, FHFMA, CMA, CFE April 3, 2018

Provider-Sponsored Health Plans: Cautions and Opportunities

Hospitals and health systems that are contemplating establishing a provider-sponsored health plan face considerable challenges today in such an undertaking, but it can be an effective strategy for some. 

By Lia Winfield, PhD April 3, 2018
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