Operations Management

Insights on population health management challenges through the eyes of C-suite leaders

Population health management is at a crossroads, and one key to ensuring its viability is to bolster stakeholder trust in the potential of value-based payment (VBP) models. That was a key takeaway from healthcare executives who took part in a September panel discussion at the 23rd annual Population Health Colloquium, hosted by the Jefferson College…

Nick Hut October 5, 2023

Healthcare News of Note: Most nursing facilities are short staffed under CMS’s proposed long-term care rule, says KFF

Over the past few weeks, I have found these industry news stories that should be of interest to healthcare finance professionals. 1. CMS’s proposed rule puts nursing facilities in a tough spot Fewer than 1 in 5 nursing facilities would meet hours-per-resident-per-day (HPRD) provisions outlined in CMS’s new proposed rule for long-term care facilities, which…

Deborah Filipek September 29, 2023

Solving the nursing crisis: 3 lessons learned from the COVID-19 experience

Accounts of the nursing shortage may vary in emphasis, but the contours of the crisis are plain: The United States does not have enough nurses to deliver the high quality of patient care that all healthcare organizations are mandated to provide. This challenge is driving healthcare facilities to rethink how they staff themselves in the…

Jeff Richards, MMSc, MBA September 22, 2023

The intersection of quality and finance, with Rick Gundling and Stephanie Mercado

HFMA's Rick Gundling and Stephanie Mercado from the National Association for Healthcare Quality discuss how all entities within a healthcare organization can work for better quality.

Erika Grotto September 11, 2023

Published data quantify how cost increases will continue to affect the healthcare industry next year

The cost to treat patients will accelerate next year, with ramifications across the healthcare industry, according to newly published projections. PwC’s Health Research Institute reported that the cost of providing care will increase by 7% in 2024, up from a 6% increase this year and 5.5% in 2022. A 7% increase would tie 2021 for…

Nick Hut September 7, 2023

Stemming the outpatient profit squeeze with a revenue cycle workflow gap analysis

Hospital and health system outpatient, outreach and ancillary services are often confined to EHR systems to manage their billing. Designed for bigger-ticket, lower-volume claims, these systems lack specific front-end intelligence, system connectivity, and automation necessary to efficiently manage these departments’ unique billing need. Too often, the result is an unnecessarily high number of submission errors,…

HFMA September 6, 2023

Summary: 10 vital responses to healthcare disruption

Note: This article is a summary of a report on HFMA’s Spring Thought Leadership Retreat. The full report is available to download. Disruption is reverberating throughout the healthcare industry, and it’s incumbent on legacy organizations to develop strategic responses for the benefit of their consumers, their communities and themselves. With that overarching challenge becoming ever…

Nick Hut August 30, 2023

Patient access: The key to a healthy revenue cycle

As hospitals and physician groups face ongoing labor shortages and skyrocketing costs, maintaining effective Patient Access processes is critical. Ensuring efficiency and accuracy upstream helps prevent delayed reimbursement downstream—while supporting a positive patient experience. Download this whitepaper to explore the three patient access processes that can help protect revenue and improve the patient experience. Identify…

HFMA August 29, 2023

Prices of drugs for diabetes, heart failure and more will be up for negotiation in Medicare next year

The U.S. Department of Health and Human Services (HHS) on Tuesday announced the first 10 Medicare Part D drugs that will be subject to price negotiations, the headlining healthcare-related provision of the Inflation Reduction Act. Signed in August 2022, the law gave Medicare authority to negotiate with drug manufacturers over the prices of selected drugs.…

Nick Hut August 29, 2023

Data indicate hospital operational logjams haven’t ceased after the public health emergency (updated)

Note: The fourth section of this article has been updated with news of proposed mandatory staffing ratios for long-term care facilities. Some of the problems that strained hospital operations during the peak of the COVID-19 pandemic have eased, but not enough to mark a true industrywide recovery, a recently released report suggests. Notably, the process…

Nick Hut August 24, 2023
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