Social determinants of health: Pushing the boundaries of healthcare
Addressing the social determinants of health is vital to improving health outcomes, but meaningful improvement requires new levels of collaboration.
Analysis: Investment income may not be enough for not-for-profit hospitals as federal reductions in payments continue
A review of why not-for-profit hospitals’ reliance on investment income may not be enough in the face of continued reductions in federal payments to hospitals over the next 10 years.
Analysis: Walmart’s Centers of Excellence program goes local
Walmart’s use of Embold Health to provide its employees with access to high-quality, cost-efficient providers has the potential for broader impact.
Analysis: Amazon acquires care navigator to integrate into virtual care solution
A review of how Amazon will monetize what it learns from managing populations now that they have own their own virtual care navigator.
Analysis: 2018 Medicare ACO results: Promising but not sufficient
A review of CMS’s recently released 2018 MSSP prompts HFMA’s Chad Mulvany to suggest as a society, the U.S. needs find additional ways to close the deficit between our means to pay for federal healthcare programs and what these programs cost.
Administrative prior authorization requirements increasingly used to steer patients to lower-cost settings
Hospital finances could be significantly impacted by UnitedHealthcare’s expansion of site-of-service prior authorization requirements going into effect Nov. 1.
Analysis: What to expect after the Texas vs. Azar ruling
There’s still much to be argued and dealt with regarding Texas versus Azar, and no final decision on the ACA should be expected until June 2020 at the earliest.
Healthcare reform moves to the states: Strategies to increase access and control costs
An increasing number of states are looking to improve access and reduce costs by funneling innovations, such as a public option or reinsurance program, through Medicaid.
Nov. 4-8: A Medicare advisers meeting is among the week’s national healthcare events
The Medicare Payment Advisory Commission’s two-day public meeting is among major healthcare finance events taking place this week.
HFMA: CMS transparency effort misses the mark
Podcast: HFMA President and CEO Joe Fifer discusses HFMA’s perspectives regarding a CMS proposed rule that has generated controversy in that it would require the public release of rates hospitals negotiated with health plans.