Quality Improvement

Why Hospitals Should Partner With Home Health Agencies

By bringing post-acute care into patient homes, home health services are reducing readmissions by 31 percent and overall healthcare costs by 24 percent. 

HFMA November 27, 2017

Executive Summary: CMS Quality Payment Program 2018 Final Rule

This document briefly summarizes key financial and operational impacts from the 2018 Quality Payment Program (QPP) final rule, published by CMS.

HFMA November 16, 2017

What Revenue Cycle Departments can Learn from the Hospitality Industry

An emphasis on customer service can help revenue cycle staff increase cash flow, mitigate denial risk, and improve customer satisfaction.

Lisa A. Eramo November 14, 2017

Rethinking Health Care’s Triple Aim

Achieving health care’s Triple Aim has proved elusive, but it may be yet be achievable through a process of engaging rising-risk patients in their own care through daily self-reporting.

Jim Evans October 4, 2017

A Holistic Approach to Reducing Hospital Readmission Rates

Main Line Health’s Barry D. Mann and Chinwe Onyekere describe the promising results the organization has seen from a volunteer program in which medical students serve as advocates for underserved patients.

Barry D. Mann October 2, 2017

Modeling the Financial Benefits of a Physician Adviser Program

Elizabeth Lamkin and Larry Field, DO, describe how healthcare organizations can assess the efficacy of a physician adviser as part of strategic-planning efforts.

Larry Field, DO, MBA, CHCQM, CPC, CHC, LHRM October 2, 2017

Modeling the Financial Benefits of a Physician Adviser Program

Elizabeth Lamkin and Larry Field, DO, describe how healthcare organizations can assess the efficacy of a physician adviser as part of strategic-planning efforts.

Elizabeth Lamkin, MHA October 2, 2017

Highmark Sees the ‘Value’ in VBID for MA Plans

Ellen Galardy of Highmark, Inc. describes the health plan's participation in a value-based insurance design pilot that seeks to improve the care of chronic conditions.

Ellen Galardy September 25, 2017

Is There a Business Case for Readmission Reduction Efforts?

An analysis found that hospital readmission reduction programs inconsistently provide net savings to health systems. The average net savings per heart failure patient was $972, but the study found a $169 net loss per patient among general populations.

Rich Daly August 1, 2017

Montefiore Targets the Social Factors That Drive Up Healthcare Costs

Montefiore’s care management approach includes embedding primary care and HIV care providers in methadone clinics and integrating behavioral health specialists in primary care practices.

Laura Ramos Hegwer August 1, 2017
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