Rising risk due to COVID-19 requires a nimble response from health systems
The factors that define risk in healthcare have markedly changed with the pandemic, creating a need for healthcare executives to evaluate and update existing strategies and operations to address emerging areas of risk that previously had not commanded their attention.
Financial Sustainability Report: February 2021
The February Financial Sustainability Report, sponsored by Kaufman Hall, explores emerging issues pertaining to physicians, including physician compensation and payment for services. It also includes insight into the impact of denials on value-based payment.
Denials management: An underrated tool for optimizing value-based revenue
Effective denials management not only supports a strong revenue stream under existing fee-for-service payment models, but also is a key tool for managing the full range of value-based payment contracts.
iVita Financial: Reducing bad debt while improving the patient financial experience
Gain insight into a program that improves patient collections, accelerating cash flow and shrinking bad debt, while boosting patient satisfaction and enabling a more patient-centric service experience in this business profile.
Healthcare leaders grapple with deferred care crisis
A survey investigated the impacts of the deferrals of elective procedures by hospitals and health systems in the first months of the COVID-19 pandemic.
Front-line stories: How today’s prior authorization processes create a burden of waste for providers
As hospitals continue to struggle with razor-thin margins, they should actively identify activities that create financial burdens for them without delivering value to patients. One health system’s stories of administrative waste due to prior authorization processes show why this activity should be be high on their list.
Physician practices are facing operational and financial headwinds
A recent study finds that most performance measures of physician practices declined in 2020 relative to 2019 levels. The findings suggest reinforcing the physician performance improvement infrastructure should remain a priority for hospitals and health systems with employed physicians.
Navigating change: Implications of CMS’s 2021 Physician Fee Schedule
Changes to the CMS Physician Fee Schedule for 2021 require immediate deliberation by provider organizations with respect to how they will structure their physician compensation arrangements.
Hospitals enjoy greater flexibility in compensating physicians for value-based care
New regulations effective Jan. 19, 2021, afford hospitals, providers of certain ancillary services and accountable care organizations they own significantly greater flexibility to compensate physicians for collaboration on value-based care initiatives.
Financial Sustainability Report: January 2021
The January Financial Sustainability Report, sponsored by Kaufman Hall, examines the recent expanded interest in hospital-at-home programs, and their potential benefits. It also includes insights on the critical impacts of the coronavirus pandemic on people already adversely affected by social determinants, and on the need to address administrative was in the healthcare caused by onerous prior authorization processes.