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.

Kathy Najarian, MHA September 28, 2020

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.

Chad Mulvany, FHFMA September 25, 2020

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.

Chad Mulvany, FHFMA September 11, 2020

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.

Chad Mulvany, FHFMA May 27, 2020

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.

Daniel J. Marino March 16, 2020

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.

Richard Weil, PhD March 12, 2020

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.

Chad Mulvany, FHFMA March 10, 2020

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.

Patrick Holland January 13, 2020

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.

Richard Weil, PhD January 2, 2020

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.

William O. Cleverley, PhD January 2, 2020
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