Message to Providers: Expect More Pricing Scrutiny
Healthcare finance leaders should review their organizations’ cost structure to ensure that their healthcare spending consistently adds value to patient care.
Ask the Experts: Hospital Financial Statistics
What is the average amount of time to be used to calculate accounts receivable (A/R) days and days cash-on-hand?
Requests for Health Information on the Rise
Healthcare reform, value-based payment, and increasing audit scrutiny make it increasingly important that hospitals improve their data sharing capabilities.
Using Audits to Improve Compliance, Cut Future Audit Risk
Several steps can help hospitals and health systems leverage audits and their results to increase compliance and reduce financial risks from future audits.
How Minnesota Safety Net Providers Found Success in a Medicaid Alternative Payment Model
A combination of preparation; using data to stratify patients by risk category; and integrating primary care, behavioral health, and social services is helping Minnesota safety net providers succeed in a Medicaid accountable care initiative.
Finding Success in the Physician Feedback Program/Value-Based Modifier
By taking certain steps, physician practices can make the most of CMS’s quality outcome feedback and payment program.
How Accurate Mortality Risk Measurement Improves Quality and Value
Keeping risk-adjusted mortality rates low is an essential step when pursuing risk-based payment arrangements, says Brett Senor, MD.
HFMA Executive Survey: Value-Based Payment Readiness
HFMA Executive Survey: Value-Based Payment Readiness explores ways hospitals are readying their value-driving capabilities and determining ROI of efforts in an environment where incentives increasingly are focused on improving quality and reducing costs of care delivery for patient populations.
Accounting for Non-Performance-Related Variation in Shared Savings Contracts
Variation between targeted and actual PMPM costs can be due to numerous factors, including many that have nothing to do with the quality or cost of care provided to ACO members.
Six Ways to Address Non-Performance-Related Variation in ACO Contracts
While not yet a perfect science, payers and providers can begin to address non-performance-related variation in a number of ways.