Payment Trends

The economics of a telehealth visit: A time-based study at Penn Medicine

Research into the costs of delivering telehealth versus in-person visits by the Department of Orthopaedics at Penn Medicine sought to answer the health systems’ questions about the long-term economic viability of telemedicine services, and to help inform their conversations with payers about how much they should appropriately be paid for the services.

Neil Ravitz, MBA December 9, 2021

Exploring opportunities to improve provider-payer data exchange

Revenue cycle leaders share strategies and the benefits for effective data exchange between providers and payers, as well as the challenges in this executive roundtable.

HFMA November 30, 2021

A New Era of Health Consumerism & Flexible Financing

The American healthcare system is experiencing significant shifts, moving past long-standingnorms. Health consumers increasingly want the new point-of-purchase financing options synonymous with today’s retail experience for their healthcare. Hospitals and health systems are turning to flexible financing solutions to meet today’s health consumers wherethey are,helping themplan forthe carethey needwithin theirbudgets.

Shannon Burke November 18, 2021

The pandemic cast a new light on mental health, and telemedicine provided a new avenue to access. How is the industry likely to view mental health and behavioral health in the future?

Dr. Ranga Krishnan of Rush University System for Health discusses the future of mental health payment and practice. He addresses how provider organizations can address workforce shortages by becoming partners in training and by changing the way they provide care to patients. He also talks about improving mental and behavioral healthcare in a value-based payment environment.

Erika Grotto November 16, 2021

Healthcare News of Note: Healthcare insurers owe hospitals billions of dollars in payments and are putting more patients in a bind with retroactive claim denials, says Kaiser Health News

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Insurers are behind in billions of dollars in payments to hospitals, the strain on clinicians and staff grows amid the pandemic, and CFO duties involve more digital activities and investor relations.

Deborah Filipek October 19, 2021

Site-of-care payment issues get highlighted by UnitedHealthcare and MedPAC

A new report issued by a leading health plan is the latest sign that hospitals and health systems can expect payers to ramp up implementation of site-neutral payments.

Nick Hut September 27, 2021

Why responding to site-neutral payment risk is imperative for hospitals and health systems

As the likelihood of site-neutral payments increases over a range of services, hospitals and health systems must understand which services are most at risk from these changes and determine how quickly they will respond.

Dawn Samaris, MBA September 27, 2021

Provider conduct could have a big impact on the future of telehealth, experts say

Widespread certification for telehealth could encourage policymakers to retain the waivers that have promoted expanded virtual access, industry experts say.

Nick Hut August 19, 2021

Study: In price negotiations with hospitals, self-insured employers lack leverage

The vast difference in market power between hospitals and employers leaves the latter group with little recourse in negotiations, according to a new study.

Nick Hut July 29, 2021

Hospital care at home signifies an important innovation in acute care delivery

Although the CMS Acute Hospital Care at Home program is still early in its development in the U.S., early adopters show evidence of the program’s exciting promise, including positive impacts on health outcomes, an improved patient and provider experience, reduced cost of care and overall healthcare savings.

Shawn Stack July 23, 2021
googletag.cmd.push( function () { googletag.display( 'hfma-gpt-leaderboard' ); } );