‘We were completely wrong’: How Henry Ford Health System won a major direct contract
How one health system won a large direct contract as such arrangements become more widespread.
7 keys to engaging physicians for success under BPCI-A
Physician engagement is a critical success factor for health systems that are pursuing bundled payment initiatives.
How healthcare providers can conduct a consumer-focused pricing strategy
The growth of consumerism in healthcare has made it imperative for healthcare providers to develop a pricing strategy that can help them achieve a competitive advantage among consumers in their markets.
Bipartisan policy group aims to slash hospital budgets
A group of policy advisers, researchersa nd politicians are urging a range of measures to cut spending on hospitals.
Why initiate health plan contract testing?
Various circumstances require providers to prepare for the impact of payment changes.
How to use contract testing and analysis to prepare for payment change
Whether a contract is new or up for renewal, a thorough understanding of the financial implications of changes to provider-payment terms is vital for continued operations.
Health Plan Price Transparency in Coverage Proposed Rule Summary
HFMA provides a detailed summary of proposed rule requiring group health plans and health insurance issuers to disclose, upon request, cost-sharing amounts.
OPPS final rule keeps site-neutral payments and 340B cuts; finalizes transparency requirements separately
The controversial major hospital payment cuts in the Outpatient Prospective Payment System (OPPS) final rule were retained from the proposed rule even though hospitals successfully have challenged them in federal court.
Dec. 16-20: CMS comment deadlines are among upcoming healthcare finance developments
A complete listing of healthcare finance-related hearings, conferences, webinars, public forums and deadlines for the week of Dec. 16.
Analysis: ChenMed moves into new territory
ChenMed’s entrance into new markets will likely have an impact on ambulatory-sensitive ED visits and admissions for underserved Medicare Advantage patients.