How To | Cost Effectiveness of Health

Financial Sustainability Report: September 2020

Sponsored by Kaufman Hall
How To | Cost Effectiveness of Health

Financial Sustainability Report: September 2020

The September 2020 Financial Sustainability Report, sponsored by Kaufman Hall, explores looming imperatives and opportunities for healthcare providers, including the Medicare Direct Contracting APM and the price transparency rule, with guidance on steps to prepare.

Medicare Direct Contracting

How to lay the foundations for success under CMS's new MDC program 
By Allen Miller, MPH, and Shanah Tirado, MBA, MPA
The CMS Medicare Direct Contracting (MDC) program offers hospitals and health systems a unique opportunity take the next step in value-based payment and population health management. Success requires the right targeted investments in expertise and infrastructure.

Price Transparency

How to develop a winning pricing strategy
By Kevin Sears, MHA, and Chris Sukenik, MBA
Price transparency mandates imposed by the U.S. Department of Health & Human services will require providers and health plans to develop comprehensive pricing strategies tailored to their specific market positions, financials and operational objectives.


How to build a resilient not-for-profit healthcare company
Sponsored by Kaufman Hall
By Eric Jordahl
To build a resilient organization that can withstand adverse changes to its core business model,  leaders should create a foundation for absorbing first shocks of dislocation by breaking the company into three components: an operating company, finance company and investment company.

COVID-19: Recovery and Aftermath

4 crucial health system responses to the revenue impact of COVID-19
By Timothy E. Kinney, Richard F. Bajner, Jr., and Jeff Goldsmith, PhD
To recover from the unexpected disappearance of hundreds of billions of dollars in patient care revenue caused by the COVID-19 pandemic in just a few short months, hospitals and health systems require both operating discipline and a dynamic approach to budgeting and managing payer relationships.

3 contracting strategies to accelerate a COVID-19 financial recovery for providers
By Kathy Najarian, MHA
While U.S. providers have suffered profound financial losses because of COVID-19, health insurance companies have actually benefited from the pandemic. Providers require effective strategies to achieve a more equitable balance.

Expect a surge in managed care audits and reviews in the COVID-19 aftermath 
By Greg Ford and Dawn Crump, MA, SSBB, CHC
As the hiatus in payer reviews and audits that providers experienced immediately following the outbreak of COVID-19 comes to an end, providers should prepare for a surge in audit activity and to take steps to address this issue in their managed care contract negotiations.

U.S. stands at the forefront of efforts to develop a COVID-19 vaccine 
By Ken Perez
The development of a COVID-19 vaccine has been likened to a horse race, and a huge one at that, as there are currently more than 140 candidate vaccines at various stages of development.


Physician perspectives: How to access the healing power of children

By Martin H. Bluth, MD, PhD
Children have a unique power to integrate their realities in ways that we adults have long forgotten. It may be time for healthcare organizations to tap into that quality children possess to promote healing.

Sign up for a free guest account and get access to five free articles every month.


Related Articles | Cost Effectiveness of Health

Column | Leadership

Healthcare’s top area of vulnerability: What finance leaders need to know

HFMA President and CEO Joseph J. Fifer discusses recent survey findings that cost effectiveness is not only a weak spot for hospitals and health systems but also healthcare’s No. 1 area of vulnerability to disruption.

News | Cost Effectiveness of Health

The stakes are only growing in efforts to improve the cost effectiveness of health, CMMI’s Elizabeth Fowler says

The head of the Center for Medicare & Medicaid Innovation spoke with an HFMA audience about the importance of efforts at the federal level and beyond to improve the cost effectiveness of health.

News | Cost Effectiveness of Health

HFMA’s Fifer, international panelists discuss how to improve investment in health

HFMA President and CEO Joe Fifer participated in an international summit that included a session on bolstering health through appropriate investment strategies.

How To | Cost Effectiveness of Health

Financial Sustainability Report: August 2021

The August 2021 issue of the Financial Sustainability Report, sponsored by Kaufman Hall, explores the impacts of COVID-19 on hospital cost reporting and financial statements, and why a hospital’s future payment levels may depend on its due diligence around these processes today.