January 2018

Cover Story

Trend | Value-Based Payment

Emerging Value-Based Payment Trends Transforming Health Care in 2018

Hospitals and health systems plan a range of care delivery innovations in 2018 to help them reach more of the quality improvement goals of various payment models.

From the President's Desk

Expanding on thoughts in his January 2018 column in hfm, HFMA President and CEO Joseph J. Fifer, FHFMA, CPA, talks about healthcare affordability, disruptors, and implications for stakeholders.

Participating in Bundled Payment Initiatives

Tamira Harris, PhD, MBA, MSN, business adviser for Change Healthcare, takes a look at how healthcare entities can get started with bundled payment initiatives, including care design and delivery.

Early Edition

Trend | Value-Based Payment

When Push Becomes Pull: The Next Phase of the Transition to Value

The healthcare industry’s transition to value-based payment will likely continue, driven by physician interest in advanced alternative payment models.

Column | Consumerism

High Discount Health Plans: Right for the Consumer, but What About PFS?

Organizations writing off more and more patient debt may want to explore new avenues for collaboration.

How To | Leadership

Leading Change Effectively

Healthcare organizations implementing changes, whether driven by outside or inside influences, must consider how such change will impact employees and organizational culture.

Features

Trend | Consumerism

The Digital Front Door: Why Total Cost of Care Risk Is Not Inevitable

Rapid technological advancements have savvy health plans and provider organizations considering how to succeed in a value-based system.

Trend | Innovation and Disruption

Faster, Bigger, and Broader: Healthcare Disruption in 2018

Hospitals and health systems are challenged to respond strategically to disruptive new competitors and technologies that are entering their markets and threaten to dramatically transform the industry.

Case Study | Strategic Planning

Change for the Delta: A Process for Strategic Planning in a Challenging Market

A hospital catering to a largely underserved population is working to keep itself financially viable by working up a long-range strategic plan.

Focus Area

Trend | Financial Counseling

Responsive Payment Support: Finding the Right Balance for Patients With HDHPs

With growing numbers of self-pay patients face difficulties in meeting their payment obligations, healthcare providers can assist them by providing responsive payment support, including offers of tailored payment plans 

Columns

Column | Financial Leadership

Let's Have a Think

Healthcare finance leaders should think deeply about what they can do to meaningfully contribute to advancing meaningful improvements, including transformed leadership structures, within the nation’s healthcare system.

Column | Strategic Partnerships, Mergers, and Acquisitions

Pick Up the Pace (or Forfeit the Race)

HFMA President and CEO Joe Fifer discusses recent healthcare industry merger news in the context of consumerism and collaboration imperatives.

Column | Healthcare Business Trends

The Continued Move to Greater Integration and Consolidation

The nation’s hospitals face a potential threat of being excluded from the healthcare delivery system based on recent merger and acquisition activity in the industry.

How To | Electronic Health Records

Preparing for Post-Live Optimization for an EHR Conversion

Although electronic health record system conversions are complex, mapping a timeline for optimization can help health systems meet their short- and long-term goals for the new system. 

Legislative and Regulatory Update | Healthcare Reform

The Changing Health Policy Debate and the Unyielding Imperative of Value-Based Care

Republican efforts to repeal and replace the Affordable Care Act have been temporarily put on hold while the party focuses on tax reform.

Legislative and Regulatory Update | Legal and Regulatory Compliance

The Year Ahead: What 2017 ACA Changes Could Mean for 2018 and 2019

Healthcare providers can expect an impact in 2018 from changes made by the Trump administration in 2017 that could lead to a decline in the number of Americans with health insurance and an increase in health plans with fewer benefits.

Departments

Trend | Medicare Cost Report

Analyzing the Frequency of Changes Among Worksheets in Medicare’s HCRIS

A study ranked worksheets providers use in filing Medicare cost reports by the frequency with which they needed to be updated, highlighting some areas requiring special attention from individuals charged with completing the cost reports.

Advertising

Trendsetter | Revenue Cycle Technology

Trendsetter: Embracing New Technologies to Reimagine the Revenue Cycle

By partnering with all stakeholders, exploring and advancing new technologies, and fostering collaboration, Change Healthcare helps providers and payers navigate the transforming healthcare marketplace—aiming to enable a new paradigm in which health care is more efficient, effective, and patient-centric.