3 contracting strategies to accelerate a COVID-19 financial recovery for providers
Having suffered significant losses due to the COVID-19 pandemic, healthcare providers require effective strategies to achieve a more equitable balance with payers, which have actually enjoyed a financial windfall as a result the pandemic.
Rand releases updated study of hospital payment variation in commercial market
HFMA's Chad Mulvany says it’s imperative that everyone in the U.S. supports safety-net hospitals, or there will be an increase in the disparities in access to basic healthcare services between the haves and have-nots.
Business Group on Health’s Annual Survey: Large employers ready to take the reins on healthcare cost
Responses to the Business Group on Health's annual survey of its large employer members suggest employers are tired of waiting for providers and plans to figure out how to reduce healthcare cost.
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.
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.
How to achieve best-in-class capability for value-based risk contracting
Health systems embarking on value-based contracting should give attention to three areas: understanding market profit pools, acknowledging inherent challenges in the health plan market, and developing the key elements that are essential for success.
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.
Atrius Health: Experience with global-risk contracts paves way to success in new arrangement
Previous success in risk-based contracts will allow Atrius Health to thrive in its new global-risk arrangement with Blue Cross Blue Shield of Massachusetts, two of the provider’s leaders write.
A tailored approach to value-based care product development
To be successful, a value-based-payment initiative must be tailored to the provider organization's market and capabilities.
A closer look at healthcare payment methods
A short description of payment methodologies offers context on the argument about whether fixed fees are preferable to percent-of-charge provisions.