Healthcare Finance and Business Strategy

Garrett Hardin popularized the idea of a tragedy of the commons in a 1968 Science essay carrying that title.[1] It describes a situation in which individuals with unlimited access to a public resource act in their own self-interest and ultimately deplete it. Hardin used grazing on a public pasture to make his point. Imagine a…

Nick Hut discusses the Medicare OPPS Proposed Rule with Kathy Stull. Erika Grotto talks with Michael Driscoll of Fidelity Investments about cost saving strategies for employers and with Tracy Monson from Onbe about modernizing the patient financial experience.

With drug and supply costs continuing to strain margins, hospitals are searching for strategic approaches to mitigate the impact. Drug costs are surging, driven by specialty drugs ranging from GLP-1 products to cell and gene therapies. Citing industry data, Emad Rizk, MD, who recently moved into the top position with Premier Inc., pointed to pharmaceutical…

Healthcare organizations face a familiar challenge: identifying which members are most likely to experience clinical deterioration before costly complications occur. As financial pressures intensify and workforce shortages continue, health plans, employers and provider organizations must allocate limited care management resources with increasing precision. The question is no longer whether organizations should stratify risk — it…

A recently released CMS final rule concerning independent dispute resolution (IDR) mediation likely will cause a further bottleneck of No Surprises Act-based appeals, experts said. In the final rule, the fees were set at $15, down from $115 paid before the proposed rule came out. CMS in its proposed rule had originally set the revised…

HHS discretionary funding in FY27 would decrease by close to 4% from current appropriations, according to a budget proposal that advanced out of the House Appropriations Committee this month. The $110.8 billion allocation would be roughly $4 billion lower than FY26 enacted funding. The budget appears to preserve more funding for traditional programs, relative to…

Monday video recap: AC26 Day 2 Recap: Big Questions, Bold Conversations In this roundup: With government retrenching, the impetus is on healthcare industry stakeholders to bolster sustainability Insights from the ‘affordability czar’ Jordan reflects on HFMA’s history and what lies ahead Vitalic Health session looks at how technology can drive a better system Most health…

Learn more about Vitalic Health CHICAGO (June 8, 2026)  – Top healthcare experts across the nation overwhelmingly agree the U.S. healthcare system is financially unsustainable, and every stakeholder must share responsibility for making care more affordable, according to a Vitalic Health affordability survey  released today. Powered by the neutral, nonpartisan, nonprofit Healthcare Financial Management Association,…

This guide includes ROI benchmarks, practical adoption frameworks, real-world use cases for forecasting and reporting, and insights into how AI is expected to transform finance over the next five years.

Healthcare stakeholders can implement strategies that improve both affordability for consumers and financial sustainability for providers, according to insights from a recent panel discussion. The effort should start with “making sure that we understand what this balance is of financial sustainability of the institution and affordability for the patients, for the consumers, for the communities…