State public option efforts waiver in face of the COVID-19 pandemic
HFMA's Chad Mulvany says although COVID-19 may have "dampened enthusiasm" for Washington state's public option, he is not sure the blame for its slow start rests solely, or even partly, on COVID-19.
Is another health plan featuring virtual PCPs as primary access point a sign of things to come?
HFMA's Chad Mulvany questions if the recent expansion of telehealth could stimulate a trend of plans offering virtual PCPs as the primary care access point.
Hospitals scramble for short-term commercial, federal loans in response to coronmavirus
Hospitals are looking for more short-term commercial loans and federal loans to bolster their responses to the coronavirus.
How healthcare providers can avoid being at a disadvantage when negotiating risk contracts
Stratifying patients by risk helps finance leaders understand the cost implication differentials of shifts in utilization, giving their organizations a more solid footing in risk-based contract negotiations.
State legislators roll back Indiana hospital bill that could have cut payments to hospitals
Health plans seeking state legislative help with site-neutral payments will likely find allies among employers who are increasingly frustrated with healthcare costs.
How long will employers continue to tolerate healthcare cost growth in excess of inflation?
Employer frustration with high healthcare costs is translating into support for more aggressive governmental intervention in healthcare markets.
Health plan-owned PCP clinics steer members to lower-cost sites-of-service
Hospitals and health systems need to be able to deliver high-quality outcomes in a cost-efficient manner to ensure they are not implicitly tiered out of a health plan's network.
Prior-authorization cost and time burdens increase for providers, report finds
Provider burdens from health plans’ use of prior authorization continue to mount amid calls to make the process fully automated.
Why removing percent-of-charge provisions in managed care contracts won’t address concerns about high hospital charges
Removing percent-of-charge provisions in favor of fixed fees would not remove the factors that drive price increases, nor would it reduce administrative hassles or decrease risk.
7 keys to engaging physicians for success under BPCI-A
Physician engagement is a critical success factor for health systems that are pursuing bundled payment initiatives.