Payment Models

Home Is Where the Hospital Is

The hospital-at-home model provides a potential means of reducing total costs of care and improving outcomes, but it would present traditional acute care hospitals with a strategic challenge.

Chad Mulvany, FHFMA July 27, 2018

Health Plans, Providers Collaborate on Payment Transformation in Hawaii

More than 500 primary care providers have moved to per-member, per-month payments for patients covered by Hawaii’s largest health plan. The initiative may provide a roadmap for smaller physician practices to participate and flourish in the transition to value.

Lola Butcher June 20, 2018

Video: The Evolution of Payment Models

François de Brantes, former vice president and director for the Altarum Payment Institute, discusses payment models.

HFMA June 1, 2018

The Study of Factors Influencing the Total Cost of Health Care

A study conducted by HFMA, Leavitt Partners, and McManis Consulting investigated factors driving the total cost of health care in the United States.

HFMA April 25, 2018

Creating APMs for Specialty Care: A Provider-Led Initiative for Delivering Value

The experiences of a large urology group practice can provide finance leaders with insight into key considerations involved with developing an advanced alternative payment model (APM) for a healthcare specialty area.

Charles Saunders, MD April 25, 2018

Developing a Specialty Medical Home Contract

University of Pittsburgh Medical Center gastroenterologists have teamed with UPMC Health Plan to develop a specialty medical home contract for patients with inflammatory bowel disease. 

Lola Butcher February 16, 2018

A Carrot or a Stick?

Incentives may not be enough to trigger a shift to voluntary alternative payment models.

James H. Landman January 29, 2018

Newer Health Plan Products Align With Value-Based Care

With the clout to steer the healthcare industry away from a volume-based approach, health plans are implementing innovative payment models.

Elizabeth Barker January 25, 2018

HFMA Trendsetter: Tackling Bundled Payments

This article shares how Premier Inc. helped Adventist Health System successfully navigate bundled payment initiatives by offering a dynamic collaborative led by seasoned experts and user-friendly analytics that enable evidence-based decisions.

HFMA October 2, 2017

Optimizing Financial Performance Under Value-Based Care

As they seek to adapt their organizations to the demands of value-based care, physician leaders can follow the example of participants in the Oncology Care Model.

Charles Saunders, MD October 2, 2017
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