Why owning a health plan is a good provider strategy
The trend toward increased ownership of health plans by health systems shows no signs of slowing as health systems are increasingly recognizing the importance of having their primary focus be on health and health outcomes rather than on the number of visits or procedures. A health system leader describes the advantages of health plan ownership and strategic considerations for pursuing this approach.
No Surprises Act regulations remain a moving target for compliance
Amid all the rules stemming from the No Surprises Act, a looming mandate for providers to send cost estimates to health plans looks like the biggest stress inducer.
FY 2023 Inpatient Prospective Payment System/LTCH Final Rule Summary
HFMA presents a detailed summary of the final rule describing FY 2023 policies and rates for Medicare’s inpatient prospective payment system and the long-term care hospital prospective payment system published by CMS.
HFMA seeks volunteers for national opportunities
Participation in HFMA volunteer leadership roles offers the opportunity to enhance the benefits, products and services provided to HFMA members and healthcare financial professionals across the country.
CVS Health gains capabilities in home healthcare and value-based care with massive deal to buy Signify Health
CVS Health’s announced acquisition of Signify Health is a key step in the company’s efforts to establish a comprehensive healthcare network.
Paul Keckley: 2 major changes in the value agenda require finance leaders’ attention
The value agenda in U.S. healthcare is critical to its future, but there are two key areas in which it is likely to be redirected in years to come.
Revecore helps hospitals increase revenue with technology-driven underpayment review and recovery solutions
Read about one company's singular focus with its underpayment review and recovery solutions is to stop the leakage and increase revenue. The company’s solution is built on unique, customized technology to collect dollars that would have otherwise gone unrecovered.
Rethinking population health management: Why successful risk-based contracting requires provider empowerment
Find out how one company hopes to solve challenges of industry shifts from fee-for-service to value-based care by reversing the long-standing narrative that population health management isn’t possible or profitable.
Medicare payments for 340B drugs are set to increase immediately after recent court ruling
The Medicare payment rate for drugs acquired through the 340B program must be increased by nearly 30 percentage points effective immediately, according to a court ruling.
News Briefs: Financial and operational challenges still hamper hospitals 2.5 years into the pandemic
As published in hfm magazine, a monthly roundup of top news for healthcare finance professionals.