2 states take the lead in implementing innovative healthcare reforms
Washington and Colorado are seeking to funnel noteworthy innovations in healthcare reform, including a public option, through their Medicaid infrastructures.
Analysis: Survey results show health systems prepared to take risk
Results of a recent HFMA/Navigant survey show providers are prepared to increase their level of payment risk. HFMA’s Chad Mulvany provides insight on what these results indicate.
Pursuing a Proactive Denials Strategy Helps Resolve Denials and Prevent Recurrence
A look at how one company is partnering with healthcare organizations to use data and technology to address the root causes of long-standing problems, including denials.
Hospital executives urge colleagues to comment on upcoming transparency rules
Hospital and health leaders were urged by their colleagues to watch for and comment on coming rules implementing this week’s White House executive order on price transparency.
Hospitals express concerns on latest transparency order
A new transparency executive order will require proposed rules within two months that could require release of negotiated hospital health plan rates.
Analysis: New HELP draft surprise-bill legislation bases payments on geographic median rate
Recent changes to the HELP draft surprise-bill legislation indicate there is unity in Congress around calculating payments to providers for out-of-network services, but challenges to the geographic-median approach are on the horizon.
Little progress seen in mitigating prior-authorization challenges
Prior-authorization challenges appear to be worsening for providers, despite a 2018 payer-provider effort to address such problems.
What’s the blueprint for taking on risk?
Providers and health plans need to collaborate — both in the planning and execution of risk-based contracts — in order to make them work.
Opportunities and strategies for improving pharmacy financial performance
A roundtable of senior healthcare financial and pharmaceutical leaders that covers challenges and strategies for improving pharmacy financial performance.
Providers push arbitration approaches used in some state surprise-bill laws
What should Congress learn from states’ experiences with laws attempting to curtail surprise healthcare bills?