Health Plan Payment and Reimbursement

Optimizing Payment Receipt to Improve Cash Flow and Reduce Error

In this article, CommerceHealthcare® discusses how it marries financial foresight with healthcare insight to help clients rethink and improve receivables management, payment services and patient loan financing and lending processes.

HFMA October 1, 2019

Holliday & Associates: Comprehensive Charge Management Software

A charge management company discusses how it helps clients successfully manage charge processes, comply with changing coding and regulatory requirements, eliminate charge-related compliance risks and ensure accurate and appropriate reimbursement.

HFMA October 1, 2019

2 approaches illustrate best practices in digital patient engagement

Two health plans shared the ways they’ve improved digital engagement with both patients and providers.

Rich Daly September 26, 2019

Verma to insurers: The public is ‘frustrated with you’

Seema Verma, administrator of CMS, says health plans need to become much more innovative, or they will be eliminated due to political pressure stemming from the public’s frustration.

Rich Daly September 26, 2019

Analysis: Prospects dim for surprise bill legislation

Although a recent poll says 8 in 10 Americans support congressional action to stop surprise medical bills, prospects appear dim for legislation to pass.

Chad Mulvany, FHFMA September 17, 2019

Providers explore new territory with health plan ownership

Health systems are showing renewed interest in forming provider-sponsored health plans for a number of reasons, including rising enrollment in Medicare Advantage plans and discontent with payer-provider partnerships.

Kai Tsai August 31, 2019

What to know before rolling out a PSHP

Healthcare organizations that are launching a provider-sponsored health plan should consider four recommendations.

HFMA August 31, 2019

Ontario Systems: Helping Healthcare Organizations Realize the Benefits of an Accountable Collections Team

Steve Scibetta, vice president and general manager at Ontario Systems, offers strategies for optimizing the revenue cycle, including employing supportive accounts receivable technology and building an accountable collections team.

HFMA August 31, 2019

BLS|Revecore: Technology-Driven Underpayment Review Services

In this article, BLS|Revecore talks about how its underpayment review technology and deep industry expertise help organizations collect dollars that would otherwise go unrecovered.

HFMA August 31, 2019

Navigant Consulting, Inc.: Hospitals and Health Systems Prepare to Assume More Risk

: This research highlight discusses key takeaways from a May 2019 HFMA study of hospital and health system senior financial executives about their organizations’ interest in and capabilities for assuming risk.

HFMA August 31, 2019
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