Analysis: Optum to empower its physicians via advanced analytics to improve care and coordinate referrals
Once OptumHealth links its physician network to data it gleans from its data analytics engine, referrals from Optum employed and aligned providers will move from high-cost providers to lower-cost, more conservative ones.
Analysis: Health plans, physician practices align to manage population health and reduce total cost of care
A discussion of strategies health plans are deploying to align with physicians, manage referrals, improve outcomes and reduce the total cost of care as the U.S. healthcare system transitions to population health-based payment models.
Sept. 9-13: Senate committee to vote on HHS funding
Senate appropriators will vote on funding for the U.S. Department of Health and Human Services, among other key healthcare finance events around the country next week.
Navigant Consulting, Inc.: Hospitals and Health Systems Prepare to Assume More Risk
: This research highlight discusses key takeaways from a May 2019 HFMA study of hospital and health system senior financial executives about their organizations’ interest in and capabilities for assuming risk.
MedPAC meeting among next week’s key healthcare events
Healthcare finance policy events for the week of Sept. 2.
Analysis: How a union’s plan could foreshadow changes in maternity care nationwide
HFMA’s Chad Mulvany reviews why he expects more employers to follow the lead of Local 32BJ’s and state Medicaid programs and implement both episodic payment models for pregnancy and non-payment for elective, pre-term C-sections.
Analysis: UAW provides direct primary care to manage healthcare costs
A review of the benefits for both healthcare providers and unions when they partner to offer union members direct primary care.
Analysis: House votes to repeal ACA’s Caddie tax
A review of the potential healthcare industry impacts from a repeal of the Affordable Care Act's Cadillac tax.
Revenue Cycle Strategist June 2019
HFMA's Revenue Cycle Strategist newsletter June 2019 issue features articles on value-based payment, coding and Medicaid regulations.
Analysis: Results from Medicare’s mandatory joint replacement bundle
A discussion of the results of the Medicare Comprehensive Care for Joint Replacement program and three keys to implementing a successful PAC management program.