Administration Meets Challenge to Risk-Adjustment Payments, Counter to Critics’ Assumptions
Responding to a New Mexico district court’s ruling against the risk-adjustment program established by the Affordable Care Act, CMS initially put the program’s payments to collections and payment on hold, but then took steps to reinstate the program.
Just How Different Is the Healthcare Market?
Healthcare stakeholders should start treating consumers in the same manner as other industries that operate more like free markets, writes Joseph J. Fifer, president and CEO, HFMA.
Health Systems Share ‘Pearls of Innovation’
A recent investor conference featured presentations by 27 tax-exempt health systems. Common threads include quality and safety and consumer focus.
Health Systems Present at Investor Conference
Investors, bankers, and rating agencies learned about the priorities of 27 health systems during a recent healthcare investor conference.
A Push to Streamline Value-Based Payment
Value-based payment is ripe to repeat past fee-for-service problems—widespread slowdowns as each entity took different approaches to data collection and sharing and, as a result, hampering interactions. CAQH CORE is getting in front of these challenges now.
How to Get Involved in CAQH CORE’s Work
CAQH CORE currently is forming groups to work on healthcare data standardization. Healthcare finance professionals are a core constituent and CAQH welcomes their participation.
Safety Net System Achieves $130M in Fiscal Improvements in 4 Years
Denials management and “keepage” strategies—keeping services within the health system—helped Maricopa Integrated Health Services improve its margins even in the face of a challenging payer mix.
Hospitals Are Using Cost Reduction to Trim Patient Charges
The healthcare industry has undergone a major decrease in average annual charge growth. Hospitals at the lowest end of the charge growth spectrum are using cost reduction to slow the level of charge change.
Cohort Reports from the 2018 Annual Conference
HFMA presents reports detailing strategies on cost reduction, consumerism, and business intelligence and analytics.
What’s Driving Increased Hospital Cost Concerns?
Cost control eclipsed revenue growth as the top priority among health system CEOs, according to Advisory Board’s Annual Health Care CEO Survey.