Payment Reimbursement and Managed Care

The Cost of Delaying the Move To Value Based Care

Using a calculator tool, healthcare finance leaders can project the costs and benefits of value-based care under different scenarios and make the case for what their organizations have to gain—or lose—by delaying or adopting value-based strategies.

Ty Tolbert April 6, 2017

Running the Rapids of Today’s Healthcare Reforms

The possibility of legislation to repeal and replace the Affordable Care Act remains, despite the recent setback, so healthcare organizations should be prepared for the changes it might bring, including reduced Medicaid payment and increased charity care and bad debt.

Jeff Helton,  PHD, FHFMA, CMA, CFE April 5, 2017

Managing Transitional and Chronic Care Profitably: A Guide for Hospital-Owned Physician Practices

CMS offers an attractive incentive for healthcare organizations that participate in transitional care management and chronic care management programs.

Cathy Zito April 5, 2017

Experiments with Alternative Payment Models

HFMA President and CEO Joseph J. Fifer, FHFMA, CPA, talks about how to make the most out of experiments with alternative payment models.

HFMA April 3, 2017

Video: The Cost of Care: ACOs, Medicaid, and Value-Based Care

Ken Perez, vice president of healthcare policy and Omnicell, provides insight into the future of ACOs, Medicaid, and value-based care.

HFMA March 31, 2017

Augmenting Price Transparency With New Strategies

Taking the right approach to designing healthcare benefits and provider networks could enhance price transparency in a way that allows healthcare consumers to become smarter shoppers.

Laura Ramos Hegwer March 30, 2017

CMS Bundles: Why Leave Millions on the Table?

Health systems will soon learn how successful their participation in the mandatory Comprehensive Care for Joint Replacement program has been. 

Jean Drouin March 28, 2017

Readmission Rates: Not a Sound Quality Reporting Indicator

Rose Rohloff describes how healthcare organizations must track the right data to determine whether reduced readmissions truly mean an increase in quality.

Rose M. Rohloff March 24, 2017

No Easy Choices: What Lies Ahead for Healthcare Reform

Authors of the bill to replace the Affordable Care Act face a complex challenge in attempting to make high-quality care available to a large population at affordable rates.

Timothy Stoltzfus Jost March 22, 2017

Optimizing the Preauthorization Process

Senior healthcare provider and health plan leaders examine the difficulties associated with preauthorization and offer strategies for how stakeholders can collaborate to optimize the process.

Kathleen Vega March 22, 2017
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