Value Based Payment

Implications of the HFMA-GHX study of risk-based contracting

In this article discussing implications of the findings of a December 2020 HFMA study, sponsored by GHX, healthcare leaders share their perspectives on key factors contributing to their organizations' success under value-based contracts.

By Eric C. Reese, PhD March 30, 2021

Health system leaders share top approaches for success under value-based payment

Three health system executives discuss the key factors that have contributed to their organizations’ long-standing success with value-based payment models.

By Eric C. Reese, PhD March 25, 2021

“Every one of us can make a change.” Dr. Zeev Neuwirth discusses how every stakeholder can improve the industry.

HFMA President and CEO Joe Fifer interviews Dr. Zeev Neuwirth about the dangers of fee-for-service and how every stakeholder has a responsibility to move the industry forward.

By Erika Grotto March 25, 2021

Healthcare News of Note: Biden administration appears to be well-aligned with all sectors of the industry

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles, including the industry’s alignment with President Biden, why many HHS regulations could be in peril and the effect of vaccines on chronic COVID-19 symptoms.

By Deborah Filipek March 12, 2021

Denials management: An underrated tool for optimizing value-based revenue

Effective denials management not only supports a strong revenue stream under existing fee-for-service payment models, but also is a key tool for managing the full range of value-based payment contracts.

By Daniel J. Marino March 1, 2021

Hospitals enjoy greater flexibility in compensating physicians for value-based care

New regulations effective Jan. 19, 2021, afford hospitals, providers of certain ancillary services and accountable care organizations they own significantly greater flexibility to compensate physicians for collaboration on value-based care initiatives.

By Max Reynolds, JD February 19, 2021

Financial Sustainability Report: January 2021

The January Financial Sustainability Report, sponsored by Kaufman Hall, examines the recent expanded interest in hospital-at-home programs, and their potential benefits. It also includes insights on the critical impacts of the coronavirus pandemic on people already adversely affected by social determinants, and on the need to address administrative was in the healthcare caused by onerous prior authorization processes.

By HFMA January 29, 2021

3 takeaways from the latest MedPAC policy meeting: future payment rates, telehealth coverage approaches and an overhaul of Medicare APMs

The January meeting of the Medicare Payment Advisory Commission included policy discussions about some of the most pressing issues in healthcare, including coverage of telehealth services.

By Nick Hut January 25, 2021

Analysis: Providers should prepare for reductions in Medicare and Medicaid spending as federal deficit swells

Given the role both Medicare and Medicaid spending play in current and projected federal deficits, spending on both will eventually need to be reduced.

By Chad Mulvany, FHFMA January 22, 2021

Nov. 11-15: HFMA’s Virtual Conference among next week’s healthcare finance events

HFMA’s Virtual Conference is among the major healthcare finance events taking place the week of Nov. 11.

By Rich Daly January 22, 2021
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