News | Leadership
HFMA’s new international Membership program reflects the Association’s mission to expand its support of healthcare finance professionals in the international community and to be a participant in the global agenda to improve health for all.
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News | Leadership
HFMA reached a significant milestone, surpassing 75,000 members in October, after 19 straight quarters of membership growth.
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Podcast | Leadership
Dr. Glenn Hardesty of Texas Health Resources and Stu Schaff of Intentionate Healthcare Advisors discuss how administrative burden deteriorates physician job satisfaction and well being, and how leaders can help.
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News | Cost Effectiveness of Health
Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: America’s most cost-effective hospitals are identified, employers have boosted telemedicine and mental health benefits during the pandemic, a...
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Q&A | Cost Effectiveness of Health
Two healthcare leaders describe a new model of geriatric care being developed in Southern California and the Southwest, designed to deliver a full range of primary care services to seniors in their homes. This model may set the stage for th...
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How To | Cost Effectiveness of Health
The November HFMA’s Cost Effectiveness of Health Report, sponsored by Kaufman Hall, features stories that explore the growing trend toward delivery of healthcare at home, as reflected in CMS’s Acute Hospital Care at Home waiver and a unique...
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Column | Cost Effectiveness of Health
Supply chain disruptions, labor shortages and rising expense costs caused by the COVID-19 pandemic continues to efforts of the nation’s hospitals and health systems to improve their performance, a Kaufman Hall survey found.
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How To | Cost Effectiveness of Health
Healthcare organizations can best prepare for an anticipated labor shortage and other workforce challenges by adopting a holistic and proactive approach to human capital management as a discipline, with the goal of promoting greater employe...
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Article | Cost Effectiveness of Health
Two leaders of health system hospital-at-home programs describe how the acute hospital care at home model represents an important change in how our nation approaches healthcare delivery, because it has been shown to yield improved care outc...
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Article | Cost Effectiveness of Health
An outsider-led restructuring of the healthcare operating model is seemingly inevitable by 2030, with some CFOs getting ready now.
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Column | Cost Effectiveness of Health
When health systems consider using real estate as an incentive in a physician affiliation strategy, they must decide early whether to create physician owners or renters. Strategic considerations will differ significantly depending on the pa...
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Q&A | Cost Effectiveness of Health
If we are to effectively address the huge cost challenges facing the U.S. health system, we must begin to better address the cost effectiveness of health, says Todd Nelson, HFMA’s director of professional practice and partner relationships....
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How To | Cost Effectiveness of Health
The October HFMA’s Cost Effectiveness of Health Report, sponsored by Kaufman Hall, presents Part 2 HFMA’s of Healthcare 2030, which examines workforce challenges facing healthcare organizations and the types of response that will be require...
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News | Cost Effectiveness of Health
In a recent study, a large group of patients with medically complex chronic conditions were referred to and seen at an Indianapolis-based outpatient critical care transition clinic saw fewer posthospital inpatient admissions and realized de...
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Trend | Cost Effectiveness of Health
Improved interoperability in healthcare data exchange has been one byproduct of the COVID-19 pandemic that may ultimately help improve the delivery of care — as well as its cost effectiveness — in the United States.
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News | Cost Effectiveness of Health
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.
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Article | Cost Effectiveness of Health
The rules of engagement are changing for the healthcare workforce in multiple ways. Industry experts anticipate that younger generations are going to exert their will more strongly in the workplace, that employers will ramp up their efforts...
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How To | Cost Effectiveness of Health
HFMA’s Cost Effectiveness of Health Report, sponsored by Kaufman Hall, is a monthly e-newsletter that will explore ways to ensure healthcare delivery in the United States is not only financially sustainable but also cost effective for all o...
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Article | Cost Effectiveness of Health
Editor's Note for Cost Effectiveness of Health Report.
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Article | Cost Effectiveness of Health
Despite the havoc the COVID-19 pandemic created for hospitals, it also created an opportunity for many important lessons learned on how care can be delivered more efficiently and cost effectively in patients’ homes.
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Case Study | Cost Effectiveness of Health
Two large Catholic health systems — Bons Secours Health System and Mercy Health — initiated a merger in 2018 as a strategy for delivering more cost-effective care to underserved communities amid continued cost pressures and declining paymen...
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Q&A | Cost Effectiveness of Health
Achieving cost effectiveness of health in the United States is a challenge not only for stakeholders within our nation’s healthcare system but also for our society, says Jeff Goldsmith, PhD, president of Health Futures Inc.
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How To | Cost Effectiveness of Health
As the likelihood of site-neutral payments increases over a range of services, hospitals and health systems must understand which services are most at risk from these changes and determine how quickly they will respond.
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News | Cost Effectiveness of Health
HFMA President and CEO Joe Fifer participated in an international summit that included a session on bolstering health through appropriate investment strategies.
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How To | Cost Effectiveness of Health
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 ...
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Column | Cost Effectiveness of Health
Physician groups across the country saw productivity and revenue improvements in the second quarter of 2021 compared with both the same period in 2020 and pre-pandemic levels seen in Q4 2019, according to Kaufman Hall’s latest Physician Fla...
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How To | Cost Effectiveness of Health
The changes due to the COVID-19 pandemic that hospitals must report in their annual cost reports will be pervasive throughout the reported data. Given that CMS and some state agencies use cost reports i9nformation to establish future rates,...
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How To | Cost Effectiveness of Health
Analyzing a health system’s financial performance is critical when making business decisions for the organization, but performing such an analysis is far from being straightforward for 2020 and 2021.
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How To | Cost Effectiveness of Health
The July 2021 issue of the Financial Sustainability Report, sponsored by Kaufman Hall, includes an account of how one health system assessed the benefits and risk associated with moving its 340B covered-entity pharmacy enterprise to a Limi...
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Column | Cost Effectiveness of Health
Although the CMS Acute Hospital Care at Home program is still early in its development in the U.S., early adopters show evidence of the program’s exciting promise, including positive impacts on health outcomes, an improved patient and provi...
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How To | Cost Effectiveness of Health
University of Utah Hospitals and Clinics (UUHC) in Salt Lake City performed research to assess the feasibility of moving its 340B covered-entity pharmacy enterprise to a Limited Liability Corporation (LLC), with a focus on risks that should...
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Blog | Cost Effectiveness of Health
The latest financial data from the hospital sector paints a picture of a continuing recovery from the depths of the pandemic.
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How To | Cost Effectiveness of Health
This June issue of the Financial Sustainability Report, sponsored by Kaufman Hall, leads off with results of HFMA’s recent report examining the evolving role of the healthcare CFO over the next decade. Two features also examine steps health...
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Column | Cost Effectiveness of Health
As revenue from inpatient care continues to decline as a percentage of total revenue, health system leaders should acknowledge the pivotal role physicians play in bringing patients into their systems.
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How To | Cost Effectiveness of Health
By adopting four models for optimizing costs, care delivery, the continuum of care and contracts under risk-based payment, health systems can create an integrated framework for guiding their value-focused strategy and focusing their efforts...
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How To | Cost Effectiveness of Health
Administering contracts is a core activity for healthcare organizations, given that contracts collectively reflect the organization’s business obligations, including all assets, relationships and terms it is required to manage. It therefore...
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Article | Cost Effectiveness of Health
The COVID-19 pandemic has renewed many health systems’ interest in pursuing population health initiatives. Yet success with such initiatives will remain elusive if they do not address two common barriers to success: lack of aligned incentiv...
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Article | Cost Effectiveness of Health
There’s a sign next to Bashar Naser’s computer monitor that says, “Dream Big,” and this is exactly what he has done during the past seven years as CFO and COO of Gerald Champion Regional Medical Center (GCRMC) in Alamogordo, New Mexico. The...
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How To | Cost Effectiveness of Health
The May Financial Sustainability Report, sponsored by Kaufman Hall, describes a new method for compensating physicians that better accounts for each organization’s unique circumstances. It also includes guidance for finance and clinical lea...
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How To | Cost Effectiveness of Health
Healthcare organizations that rely on survey benchmark data alone when setting physician compensation may be risking budgets and relationships with physicians, especially in times of great uncertainty. Instead, they should adopt an approach...
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How To | Cost Effectiveness of Health
The April Financial Sustainability Report, sponsored by Kaufman Hall, offers results of a health system’s assessment of its costs to deliver telemedicine services. Other content includes a case study of how a large medical group revamped it...
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How To | Cost Effectiveness of Health
All too often, ambulatory orders from referring physicians do not result in delivered services and associated revenue for hospitals because of ineffective ordering processes. Hospitals can gain a competitive advantage ad avoid lost revenue ...
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How To | Cost Effectiveness of Health
Six trends related to the COVID-19 pandemic have created a need for healthcare organizations to adopt a new, strategic and data-driven approach to managing their clinical documentation integrity (CDI) programs.
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Article | Cost Effectiveness of Health
Recent research shows that volatility driven by COVID-19 rocked physician practices throughout 2020, but there were signs of recovery toward the end of the year.
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Case Study | Cost Effectiveness of Health
When acquiring physician practices, health systems often develop employment arrangements on a case-by-case basis, leading to challenges due to the inconsistencies of multiple arrangements. A large physician practice’s effort to standardize ...
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Blog | Cost Effectiveness of Health
Authored by leaders of four large health systems and two hospital associations, a new paper examines priorities for healthcare transformation from the perspective of care delivery organizations.
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Blog | Cost Effectiveness of Health
Profits were down in the not-for-profit and public healthcare sector in FY20, but management strategies helped to increase liquidity amid the COVID-19 pandemic.
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How To | Cost Effectiveness of Health
The March Financial Sustainability Report, sponsored by Kaufman Hall, highlights significant changes in the nature of risk that hospitals and health systems face in the post-pandemic world, and how these organizations’ leaders should respon...
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Q&A | Cost Effectiveness of Health
The drivers of today’s mergers and acquisitions differ significantly from what was driving M&A activity 20 years ago, says Anu Singh, managing director with Kaufman, Hall & Associates LLC. Read Singh’s insights into the key factors that wil...
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Column | Cost Effectiveness of Health
Amid the challenging times of COVD-19, it is critical for revenue cycle leaders to educate themselves about best practices either created or refined during the pandemic to effectively promote patient financial engagement in today’s world of...
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Q&A | Cost Effectiveness of Health
Two executives from San Diego-based Scripps Heath discuss how the health system has employed emerging demand modeling techniques to realize the full power of rolling forecasting during the unprecedented times of the COVID-19 pandemic.
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Article | Cost Effectiveness of Health
One of the greatest cost-savings opportunities for hospitals and health systems lies in controlling variation in costs for surgical procedures, a key area of focus for such an effort is the supply costs for such procedures.
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Trend | Cost Effectiveness of Health
The factors that define risk in healthcare have markedly changed with the pandemic, creating a need for healthcare executives to evaluate and update existing strategies and operations to address emerging areas of risk that previously had no...
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How To | Cost Effectiveness of Health
The February Financial Sustainability Report, sponsored by Kaufman Hall, explores emerging issues pertaining to physicians, including physician compensation and payment for services. It also includes insight into the impact of denials on v...
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How To | Cost Effectiveness of Health
Changes to the CMS Physician Fee Schedule for 2021 require immediate deliberation by provider organizations with respect to how they will structure their physician compensation arrangements.
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Column | Cost Effectiveness of Health
A recent study finds that most performance measures of physician practices declined in 2020 relative to 2019 levels. The findings suggest reinforcing the physician performance improvement infrastructure should remain a priority for hospital...
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How To | Cost Effectiveness of Health
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.
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Article | Cost Effectiveness of Health
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 ...
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How To | Cost Effectiveness of Health
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 p...
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Trend | Cost Effectiveness of Health
As hospitals continue to struggle with razor-thin margins, they should actively identify activities that create financial burdens for them without delivering value to patients. One health system’s stories of administrative waste due to prio...
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How To | Cost Effectiveness of Health
Hospital and health system leaders should devote the same level of strategic focus and analytical rigor to their organizations’ real estate as they apply elsewhere within the enterprise.
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Trend | Cost Effectiveness of Health
The COVID-19 pandemic has significantly accelerated interest in developing and expanding hospital-at-home programs. For healthcare organizations that are pursuing risk-based contracting with an APM, a hospital-at-home program offers the pot...
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How To | Cost Effectiveness of Health
The December 2020 Financial Sustainability Report, sponsored by Kaufmann Hall, examines hospitals’ and health systems’ growing imperative, driven by COVID-19, to pivot their OR strategy to the ambulatory care arena. Other content explores n...
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How To | Cost Effectiveness of Health
An important question for healthcare finance leaders is, “What is our cost of capital?” The answer to this question, however, is not at all straightforward and ultimately depends on context, with tax exemption possibly hanging in the balanc...
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How To | Cost Effectiveness of Health
To maintain OR procedural revenue in the years following COVID-19, hospitals and health systems require a new surgical services strategy led by physicians and characterized by a focus on ambulatory care, with a strong emphasis on improving ...
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How To | Cost Effectiveness of Health
When pursuing a merger and acquisition (M&A) transaction, merging parties should engage in intentional integration planning to avoid potential barriers that can dampen new organization's promise. Ideally, integration planning starts with de...
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Trend | Cost Effectiveness of Health
Healthcare organizations must validate the identity and credentials of all the physicians that deliver care in their facilities, which creates a significant revenue cycle, recruiting and physician relations challenge. New approaches using b...
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How To | Cost Effectiveness of Health
The November 2020 Financial Sustainability Report, sponsored by Kaufman Hall, explores the long-term implications for hospitals and health systems of the deferral of elective procedures at the start of the COVID-19 pandemic, and it provides...
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Case Study | Cost Effectiveness of Health
A not-for-profit hospital in West Texas undertook a perioperative surgical home initiative wit a focus on caring for geriatric patients with hip fractures and demonstrate how such an initiative can improve patient access and clinical outco...
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Trend | Cost Effectiveness of Health
Healthcare providers require a consumer focus to be able to address the many profound and ongoing impacts of COVID-19, including patient anxiety, reduced patient volumes, unfavorable changes in payer mix and poor financial performance.
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How To | Cost Effectiveness of Health
Physicians and health systems (including hospitals) that collaborate continuously on improving the consumer experience and bringing decisions as close to the consumer as possible will win in the emerging post-COVID-19 world.
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Trend | Cost Effectiveness of Health
The COVID-19 pandemic has accelerated demand for more consumer-friendly services and processes. Hospitals should respond by pursuing coordinated, strategic efforts to give consumers better access, experience, pricing and infrastructure.
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Column | Cost Effectiveness of Health
Healthcare providers can benefit from using a chess-inspired strategy to rebuild the revenue cycle after COID-19, as they continue to prepare or value-based care.
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Article | Cost Effectiveness of Health
A survey investigated the impacts of the deferrals of elective procedures by hospitals and health systems in the first months of the COVID-19 pandemic.
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How To | Cost Effectiveness of Health
The October 2020 Financial Sustainability Report, sponsored by Kaufman Hall, explores aspects of healthcare’s transition to value-based payment, including how to pursue a value-based approach to maternity care, and how the transitional appr...
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News | Cost Effectiveness of Health
Health system executives and finance leaders responding to a recent survey expressed concern about the financial viability of their organizations amid the ongoing COVID-19 crisis.
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Article | Cost Effectiveness of Health
To effectively transition to value, ACO must fully grasp the success factors that will determine future success under value-based payment, including success with downside risk. A research study examined key organizational, financial, market...
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Column | Cost Effectiveness of Health
Prepayment is an option for patient self-pay collections that can contribute to a positive experience for patients and improved revenue cycle performance for a provider organization.
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How To | Cost Effectiveness of Health
Hospitals should take steps to prevent silent denials. Such denials are a common result of inaccuracies introduced as a result of clinical conservatism, which can have an impact on reimbursement before a claim is submitted.
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How To | Cost Effectiveness of Health
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 guid...
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How To | Cost Effectiveness of Health
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 expert...
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Article | Cost Effectiveness of Health
Healthcare providers should prepare for emerging trends in payer audits, reviews and associated information requests, after the brief lull in such activities that occurred with the onset of the COVID-19 pandemic.
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Column | Cost Effectiveness of Health
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 compa...
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How To | Cost Effectiveness of Health
The nation's hospitals and health systems have a critical need to begin preparing now for the long-term financial impacts of the COVID-19 pandemic.
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How To | Cost Effectiveness of Health
The August 2020 Financial Sustainability Report, sponsored by Kaufman Hall, offers healthcare finance leaders guidance on how to set compensation for physicians in surgical specialty areas and how to pursue a financially sustainable busines...
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Column | Cost Effectiveness of Health
Hospitals came through the Great Recession relatively unscathed, but a future recession would likely pose much more severe challenges. It therefore would be prudent for hospitals to act now to protect themselves against future market distre...
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Column | Cost Effectiveness of Health
The extent to which hospital and health system executive teams can multitask will be a determining factor in whether these organizations will succeed in continuing to manage the ongoing operational and financial threats from the COVID-19 pa...
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How To | Cost Effectiveness of Health
As healthcare CFOs prepare fro the aftermath iof the COVID-19 pandemic, they should adopt a new mindset for addressing strategies around human capital, revenue recovery, cost reduction and capital investment.
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Case Study | Cost Effectiveness of Health
A strategy by Excela Health in Pennsylvania focused on integrating and optimizing its the advanced practice provider workforce can serve as a road map for how best to pursue such an undertaking.
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How To | Cost Effectiveness of Health
To develop a sustainable remote-work policy for revenue cycle staff, healthcareganizations must address concerns about staff morale, team cohesion and protection of cash flow.
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How To | Cost Effectiveness of Health
The July issue of the Financial Sustainability Report, sponsored by Kaufman Hall, offers healthcare finance leaders insights that can help them prepare their organizations for the future “new normal” that follows the COVID-19 pandemic.
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Article | Cost Effectiveness of Health
Sepsis is among the largest cost drivers for U.S. hospitals, and it contributes to higher costs of care for patients with COVID-19. Hospital finance leaders therefore should understand and focus on managing the cost impact of sepsis treatme...
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How To | Cost Effectiveness of Health
To succeed with risk-based contracts through the COVID-19 pandemic and beyond, healthcare organizations require analytic capabilities for modeling the revenue impact of the crisis through all its phases.
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Article | Cost Effectiveness of Health
Decisions made with respect to a health system's ambulatory real estate portfolio and footprint can have significant impacts onthe organization's future growth, financial position and capital platform.
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How To | Cost Effectiveness of Health
To effectively manage accounting teams who are increasingly working from home in this new environment created by the COVID-19 crisis, healthcare organizations can take lessons from organizations that have experience in managing a remote wor...
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Column | Cost Effectiveness of Health
Reworking cost structure and enhancing revenue performance are foundational parts of a holistic solution for most healthcare organizations facing balance sheet challenges and covenant violations as a result of the COVID-19 crisis.
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How To | Cost Effectiveness of Health
The June issue of the Financial Sustainability Report, sponsored by Kaufman Hall, provides a broad range of new guidance for healthcare finance leaders on how to adapt and thrive in healthcare’s emerging new world in the aftermath of COVID...
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Column | Strategic Planning
After undertaking dramatic changes in operations to address the COVID-10 pandemic, U.S. hospitals and health systems need to begin planning for the restart of normal operations over the next few months as well as for their long-term futures...
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Article | Cost Effectiveness of Health
Lessons health systems have learned because of the COVID-19 pandemic will provide the building blocks to the recovery, including the return of “elective” procedures, many of which are vitally important to patients’ well-being.
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Column | Cost Effectiveness of Health
Kaufman Hall's managing director and chair, Ken Kaufman, says leaders of healthcare provider organizations must act now with speed and sophistication to develop the financial foundation for an effective COVID-19 recovery.
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How To | Cost Effectiveness of Health
The May issue of the Financial Sustainability Report, sponsored by Kaufman Hall, offers healthcare finance leaders insights that can help them develop long-term solutions for recovering and thriving in the new healthcare landscape that emer...
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Column | Cost Effectiveness of Health
The COVID-19 pandemic’s impact on the nation has historical implications. Among the various national responses, we likely will see investments in strengthening hospitals’ abilities to deploy temporary facilities, draw upon backup staffing a...
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Column | Cost Effectiveness of Health
The upheaval hospitals and health systems are experiencing as a result of the COVID-19 pandemic has made traditional annual budgeting processes inadequate. Organizations should consider adopting instead a budgeting process based on rolling ...
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Content to help healthcare C-Suite leaders with sustainable portfolios, long-term investment strategies, workforce structures and clinical integration.