Utilization Management

Hoping to avoid being overwhelmed, safety-net hospitals urge COVID-19 prevention

Safety-net hospitals are urging the public to take COVID-19-prevention steps to keep from overwhelming the facilities.

Rich Daly October 28, 2020

‘A mountain of work’: Lessons from 2 organizations that restarted elective procedures after the COVID-19 moratorium

Leaders with two provider organizations that resumed elective procedures as COVID-19 began to ebb in their markets describe the most important considerations.

Nick Hut May 26, 2020

Decline in healthcare spending contributing to economic downturn

HFMA's Chad Mulvany says the nation's economy and the health of its citizens could suffer if regular healthcare services continue to lag due to ongoing public concerns about COVID-19.

Chad Mulvany, FHFMA May 6, 2020

How Orlando Health stemmed healthcare costs by eliminating unnecessary clinical process variation

An initiative to eliminate unnecessary variation in care processes for six diagnostic groupings enabled Orlando Health to significantly reduce its average length of stay for the diagnoses while realizing a substantial reduction in cost.

Thomas Kelley, MD March 12, 2020

Transforming healthcare through better resource management

A transformative software company discusses how its enterprise resource planning (ERP) solution helps healthcare organizations become more agile, sustainable and consumer-oriented by integrating and strengthening financial, human resource and supply chain functions.

HFMA January 31, 2020

Capitalize on purchased services’ unusual suspects to enhance revenue

A transformative healthcare company outlines some conventional and unusual strategies for streamlining purchased services spend to expand margins and drive revenue.

HFMA January 13, 2020

Revenue Cycle Strategist July/August 2019

The July/August 2019 issue of Revenue Cycle Strategist newsletter features articles on payer EHR integration, price transparency, chargemaster strategies and KPIs for Medicaid eligibility.

HFMA August 22, 2019

Innovation in action: The genesis of the geriatric ED

An innovative idea sparked the concept of the geriatric ED, which now has its own accreditation process and is becoming a staple of hospitals around the country.

Lola Butcher August 2, 2019

Geriatric EDs improve care, reduce utilization

Main article: Innovation in action: The genesis of the geriatric ED Adults ages 65 and older account for about 18% of total emergency department (ED) visits, according to the American College of Emergency Physicians (ACEP). That percentage has increased steadily in the past decade and will do so for the foreseeable future. There were 43…

Lola Butcher July 25, 2019

Integration supports Presbyterian’s ‘Complete Care’ program

Presbyterian Healthcare Services, based in Albuquerque, is a locally owned, not-for-profit health system of nine hospitals, a statewide health plan and a growing multispecialty medical group. We serve one in three New Mexicans through our healthcare services and insurance coverage. For Presbyterian patients with serious, complex medical needs, we offer a high-touch program that combines primary,…

Nancy Guinn, MD June 19, 2019
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