Payment Reimbursement and Managed Care

Four Strategies to Maximize Adult Immunization Quality and Financial Benefits

Jill Powelson describes how healthcare organizations can maximize revenue opportunities for immunizations.

Jill Powelson March 10, 2017

Value-Based Payment—from a Different Perspective

Giesinger Health System has gained many advantages from offering its own, provider-sponsored health plan.

Kurt J. Wrobel, FSA, MAAA March 3, 2017

Assessing the Impact of Medicaid Expansion

Medicaid expansion reduced the amount of hospital charity care in participating states, while charity care remained almost unchanged in non-participating states during the same time period.

David Koepke February 28, 2017

Building a Value Model for Population Health Management

A data-driven “value model” can help healthcare organizations plan the scale and pace of investments into population health management in preparation for value-based contracting.

Daniel J. Marino February 21, 2017

Beyond the Medicare Annual Well Visit: Maximizing Revenue for Hospital-Owned Practices

Medicare-covered services may present a new source of revenue for hospital-owned physician practices.

Cathy Zito February 21, 2017

The Fate of Value-Based Care with an ACA Repeal

The move to value-based care may not go forward under Republicans’ plan to repeal and replace the Affordable Care Act.

Ken Perez February 21, 2017

Hospitals Face Challenges From Medicare Cost and Payment Trends

An analysis finds that Medicare payments for hospital admissions are declining even as hospitals’ cost per admission is rising, pointing to an increased need for aggressive cost containment efforts by hospitals.

HFMA February 21, 2017

Alternative Payment Models: The Courage to Lead

Healthcare finance leaders are finding the courage to move forward with value-based payment despite the uncertainties of a new administration in Washington, D.C.

Joseph J. Fifer, FHFMA, CPA February 21, 2017

From “No Plan” to Multiple Plans, but No Consensus to Date

As the Republican-led Congress considers ways to fulfill campaign promises to repeal and replace the Affordable Care Act, they face practical challenges and a lack of consensus about how to proceed.

Gail R Wilensky, PhD February 21, 2017

Primary Care Quality Incentive Program: Focus of Patient Satisfaction Questions

Bon Secours Virginia Medical Group’s primary care quality incentive program has eight measures that focus on patient satisfaction. 

HFMA February 21, 2017
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