Leverage healthcare price transparency data to promote financial sustainability
Healthcare organizations are encouraged to review strategies and how to collaborate with payers, among other insights in this article, in order to grow healthcare consumer trust, engagement and retention.
Dennis Dahlen: It’s time to be biased toward action
We’re in an extraordinary period of discovery and innovation in healthcare, from a breakthrough treatment that delays the onset of Type 1 diabetes to the potential to use advanced artificial intelligence (AI) to help patients manage their health. But embracing the promise of innovation within our organizations depends on our ability to lead teams to…
Key questions for providers after more than 2 years of the price transparency rule
Effective Jan. 1, 2021, under CMS’s final outpatient prospective payment system (OPPS) final rule for CY2020, hospitals nationwide were required to publish their negotiated rates, chargemaster prices and drug prices for all items and services in a machine-readable file (MRF) and generate a more user-friendly consumer display showing pricing information for 300 shoppable items and…
How homelessness and healthcare are inextricably linked
Homelessness is a worsening problem for the United States, and in multiple ways, it is a healthcare issue. Many of our nation’s failed efforts to solve this problem, outlined below, do not fully acknowledge this reality. But a promising new not-for-profit initiative, Built for Zero, may provide a truly viable solution using a data-driven approach…
What to expect when a consultant call-in report is required
Amid today’s difficult operating environment, some organizations face the prospect of breaching covenants in their master trust indenture (MTI) or bank loan documents, particularly covenant requirements for debt service coverage or days cash on hand. In the event of a breach, management is typically required to hire an independent consultant to identify areas for financial…
Children’s hospitals swim against the tide to improve the health of their patients and communities
As the nation’s pediatric hospitals strive to keep kids healthy, they face obstacles that reflect the difficulty of enacting structural changes in care delivery. Even pediatric hospitals that are eager to engage in value-based payment (VBP) models can have a hard time establishing the type of network that allows them to affect the holistic health…
HFMA, Selat/Nawa and KSA Ministry of Health collaborate on one-day educational event in Riyadh
The Healthcare Financial Management Association (HFMA) is offering a new international educational opportunity with a one-day healthcare finance event, at the Global Health Exhibition in Riyadh on Oct. 31. Selat, a Riyadh-based revenue cycle management consulting firm and its training arm Nawa, is the exclusive sponsor of the event and will also provide instruction during…
Congress puts the community benefit standard for nonprofit hospitals under the microscope
The criteria that establish hospitals’ tax-exempt status are coming under closer scrutiny, with a bipartisan quartet of senators asking the IRS to ramp up its oversight of compliance with the community benefit standard. Sens. Bill Cassidy, MD (R-La.), Charles Grassley (R-Iowa), Raphael Warnock (D-Ga.) and Elizabeth Warren (D-Mass.) sent an Aug. 7 letter to the…
Fighting for systemic change by putting the patient first
Rami Karjian and Raphael Rakowski of Medically Home discuss emphasizing patients over all else in healthcare, and Julie Lambert and Lori Zindl from Inovalon talk about an RCM survey.
How to staff smarter and reduce reliance on expensive travel contracts
To bridge the healthcare staffing gap and tackle workforce issues such as burnout, spikes in labor costs, and rising retirements among nurses, hospitals and healthcare facilities need a technology-driven approach that empowers staffing managers with the control needed to address fluctuating patient volume without understaffing or overspending on labor. This How-To guide highlights the challenges,…