Hfma.org View all Health

Cost Effectiveness of Health

Details: The nation’s healthcare providers have a social obligation to promote 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. By Eric C. Reese, PhD.

› Verified 9 days ago

› Url: https://www.hfma.org/topics/landing-cost-effectiveness-of-health.html Go Now

• Get more: Revenue cycle certificationGo Now

Addressing U.S. healthcare system challenges requires a

Details: 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. And it has to be through a collaborative process involving all stakeholders, he says, including not just hospitals and health systems, physicians and

› Verified 4 days ago

› Url: https://www.hfma.org/topics/cost-effectiveness-of-health/article/addressing-u-s--healthcare-system-challenges-requires-a-focus-on.html Go Now

• Get more: Hfma certificationGo Now

Time for another extension of the COVID-19 public health

Details: National health spending was 7.7% higher in June of 2021 compared with June of 2020, according to economic indicators reported by Altarum in August, indicating a general recovery from the pandemic.4 Hospital admissions, however, fell in the Spring of 2020 because of the public lockdown, and by December 2020, they reflected only 94% of expected use.

› Verified 4 days ago

› Url: https://www.hfma.org/topics/hfm/2021/october/time-for-another-extension-of-the-covid-19-public-health-emergen.html Go Now

• Get more: Hfma programsGo Now

Healthcare M&A activity for Q3 remains low in volume but

Details: Beaumont Health and Spectrum Health plan to combine to form Michigan’s largest private employer, with joint revenue exceeding $12 billion. Intermountain Healthcare and Colorado-based SCL Health announced a merger that would result in an …

› Verified Just Now

› Url: https://www.hfma.org/topics/news/2021/10/healthcare-m-a-activity-for-q3-remains-low-in-volume-but-high-in.html Go Now

• Get more: Hfma websiteGo Now

Why closer collaboration between healthcare providers and

Details: A defining trait in such arrangements, compared with standard forms of provider-health plan collaboration, is the emphasis on delivering value through efforts to increase access, improve quality and reduce waste, said Michael Nugent, partner with Guidehouse.

› Verified Just Now

› Url: https://www.hfma.org/topics/news/2021/06/why-closer-collaboration-between-healthcare-providers-and-health.html Go Now

• Get more: Hfma sign inGo Now

Healthcare Revenue Recognition: 5 Steps for Net Revenue

Details: Finance executives and managers in health systems, physician practices, hospice facilities, long-term care facilities, and other healthcare-related entities should understand not only what rules are changing but also how the updated standards may affect financial modeling and reporting. The core principle of the new guidance is that an entity

› Verified 6 days ago

› Url: https://www.hfma.org/topics/article/51586.html Go Now

• Get more: Hfma crcrGo Now

Integrating Healthcare Revenue and Operating Models to

Details: Myriad, simultaneous shifts in health care have many provider organizations looking to retool their revenue models. Healthcare organizations are contending with myriad changes—including declining government payment, regulatory changes on the state and federal levels, shifting demographics, and changes in payment structure—any one of which could cause dramatic shifts in …

› Verified 6 days ago

› Url: https://www.hfma.org/topics/article/56184.html Go Now

• Get more: Ani hfmaGo Now

Healthcare organizations should expect a surge in managed

Details: Before COVID-19, healthcare organizations were experiencing a steady influx of audit activity from health insurance companies. Audits conducted both before and after payment coupled with HEDIS/risk adjustment reviews represented about 30% of the medical records requested in the first quarter of 2020. a Immediately following the outbreak of the COVID-19 pandemic, many providers, …

› Verified Just Now

› Url: https://www.hfma.org/topics/financial-sustainability/article/healthcare-organizations-should-expect-a-surge-in-managed-care-a.html Go Now

› Get more:  MedicalGo Now

Acquisition and Affiliation Strategies

Details: Health, a large, for-profit, multispecialty physician group that includes a health plan and is located in south-central Wisconsin. “When Dean put itself on the market, we saw a strategic opportunity to utilize Dean’s capabilities in man-aging physicians and running a health plan to further SSM’s

› Verified 1 days ago

› Url: https://www.hfma.org/content/dam/hfma/Documents/PDFs/Acquisition%20and%20Affiliation%20Strategies.pdf Go Now

› Get more:  HealthGo Now

Current financial reporting practices inhibit healthcare

Details: 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 of its stakeholders — including health systems, physicians, health plans and patients.

› Verified Just Now

› Url: https://www.hfma.org/topics/accounting-and-financial-reporting/article/current-financial-reporting-practices-inhibit-healthcare-policym.html Go Now

› Get more:  HealthGo Now

Health Services Financing helps providers offer all

Details: Health Services Financing (HSF ®) enables providers to address both issues. The patient financing program is open to all patients and the low monthly payments alleviate patient financial concerns. More importantly, HSF ® enables providers to meet patients at their point of need. Patients are seeking convenient, personalized care that offers

› Verified Just Now

› Url: https://www.hfma.org/topics/hfm/2021/october/health-services-financing-helps-providers-offer-all-patients-a-touchless-financing-program.html Go Now

› Get more:  HealthGo Now

Promoting a more diverse and inclusive healthcare

Details: A 2015 survey conducted by the American Hospital Association’s Institute for Diversity in Health Management found that 19% of lower- and mid-level hospital management positions, and just 11% of executive leadership positions, were held by people of color. At that time, people of color represented 32% of patients in hospitals that responded to

› Verified 6 days ago

› Url: https://www.hfma.org/topics/leadership/article/promoting-a-more-diverse-and-inclusive-healthcare-workforce-is-e.html Go Now

› Get more:  HealthGo Now

Healthcare News of Note: U.S. will be short 3.2 million

Details: Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Shortages of lower-wage healthcare workers, nurses, physicians and mental health staff are expected, PHI security and burnout are of concern to most healthcare professionals, and the pandemic is expected to affect health insurance rates.

› Verified Just Now

› Url: https://www.hfma.org/topics/news/2021/10/u-s--will-be-short-3-2-million-lower-wage-healthcare-workers-wit.html Go Now

› Get more:  HealthGo Now

The Next Generation of Budgeting for Healthcare

Details: The Next Generation of Budgeting for Healthcare. For some healthcare providers, a combined budgeting approach using advanced statistical forecasting techniques in conjunction with a rolling budget process provides an optimum balance between traditional budgeting techniques and future forecasting methodologies.

› Verified 6 days ago

› Url: https://www.hfma.org/topics/article/62571.html Go Now

› Get more:  HealthGo Now

Costing Practices in Healthcare Organizations: A Look at

Details: Results of a recent survey point to a rise in interest in activity-based costing techniques among hospitals and other providers. Amid today’s rapidly increasing healthcare costs, healthcare providers face increased pressures to deliver services more effectively and efficiently to their patients.

› Verified 6 days ago

› Url: https://www.hfma.org/topics/article/57198.html Go Now

› Get more:  HealthGo Now

Survey: Hospitals and health systems prioritize automation

Details: “As health systems reset after the pandemic, considering these factors has become important for optimizing the resources available and planning for future care needs,” HFMA’s Gilfillan said. With 11 KLAS #1 rankings, the Guidehouse Health team helps hospitals and health systems, government agencies, life sciences companies, and payers

› Verified 7 days ago

› Url: https://www.hfma.org/topics/hfm/2021/september/survey-hospitals-and-health-systems-prioritize-automation-technology-and-cybersecurity-to-battle-pandemic.html Go Now

› Get more:  HealthGo Now

Telemedicine is exploding, but where is the ROI for health

Details: As health systems raced to expand access, retain patients and deliver critical services virtually in response to the COVID-19 crisis, the growth of telemedicine was well documented. The combined effects of relaxed regulation, increased demand and ubiquitous accessibility of cloud-based technologies catalyzed what could be characterized as

› Verified Just Now

› Url: https://www.hfma.org/topics/financial-sustainability/article/telemedicine-is-exploding--but-where-is-the-roi-for-health-syste.html Go Now

› Get more:  MedicineGo Now

Selected Health Provisions of the American Rescue Plan Act

Details: 2021. This summary addresses the health provisions in the Act that relate to the Medicare, Medicaid, the Children’s Health Insurance Program (CHIP), programs authorized under the Public Health Service (PHS) Act, provisions related to private health insurance Exchanges, and premium subsidies for coverage under former employers’ health plans.

› Verified 9 days ago

› Url: https://www.hfma.org/content/dam/hfma/Documents/industry-initiatives/fact-sheets/selected-health-provisions-amercian-rescue-plan-act-2021-summary.pdf Go Now

› Get more:  HealthGo Now

Why Hospitals Should Partner With Home Health Agencies

Details: Ebel: Good home health is a personalized form of care because it puts patients at the center of their care decisions with their home health team. We have a skilled intermittent care license, giving us the ability to provide nurses, physical therapists, occupational therapists, speech therapists—all of the functional roles—in the home setting.

› Verified 6 days ago

› Url: https://www.hfma.org/topics/article/57025.html Go Now

› Get more:  HealthGo Now

COVID-19 magnifies impact of SDOH on U.S. healthcare system

Details: Population health management expert Jenifer Leaf Jaeger, MD, MPH, examines why the COVID-19 pandemic has made it more critical than ever for the U.S. providers to address the needs of people whose health and well-being are compromised by social determinants of health.

› Verified 5 days ago

› Url: https://www.hfma.org/topics/financial-sustainability/article/covid-19-magnifies-impact-of-sdoh-on-u-s--healthcare-system.html Go Now

› Get more:  HealthGo Now

When real estate is part of a physician affiliation

Details: 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 path chosen.

› Verified 4 days ago

› Url: https://www.hfma.org/topics/cost-effectiveness-of-health/article/when-real-estate-is-part-of-a-physician-affiliation-strategy---r.html Go Now

› Get more:  HealthGo Now

Healthcare providers face challenges implementing the

Details: I also encourage health systems and providers to closely review the notification and consent requirements outlined in the IFC to identify and share feedback on potential delays in patient care, operational workflow challenges and opportunities to improve …

› Verified 5 days ago

› Url: https://www.hfma.org/topics/news/2021/07/healthcare-providers-face-challenges-implementing-the-latest-surprise.html Go Now

› Get more:  HealthGo Now

Bon Secours Mercy Health’s successful merger provides

Details: 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 payments. Within three years, by using proactive, strategic and transparent communication as the guiding principle for their merger of equals, …

› Verified 4 days ago

› Url: https://www.hfma.org/topics/cost-effectiveness-of-health/article/bon-secours-mercy-health-s-successful-merger-provides-takeaway-l.html Go Now

› Get more:  HealthGo Now

ZDoggMD: How to get to healthcare 3.0

Details: ZDoggMD: How to get to healthcare 3.0. Healthcare 3.0 will identify causes of health issues and begin to drive changes in patient health conditions. A data-driven approach ignores the emotional motivators that drive people. Providers like Iora Health show what a comprehensive approach to population health can achieve.

› Verified 3 days ago

› Url: https://www.hfma.org/topics/news/2019/06/zdoggmd--how-to-get-to-healthcare-3-0.html Go Now

› Get more:  HealthGo Now

Value in Health Care Current State and Future Directions

Details: in health care is defined through the relationship of these two factors: the quality of care and the price paid for it. Over the years, the mechanisms used to finance and measure healthcare delivery have obstructed the ability of patients and other purchasers of care to perceive value, as

› Verified 9 days ago

› Url: https://www.hfma.org/content/dam/hfma/Documents/PDFs/Value%20in%20Health%20Care%20Current%20State%20and%20Future%20Directions.pdf Go Now

› Get more:  HealthGo Now

SDOH: An emerging population health priority

Details: In recent years, public health and not-for-profit organizations have focused on addressing social determinants of health (SDOH) and their impact on individuals’ wellness and ability to access healthcare services. Progress has been slow to date, but recent initiatives suggest use of effective approaches to addressing SDOH is gaining momentum.

› Verified Just Now

› Url: https://www.hfma.org/topics/financial-sustainability/article/sdoh--an-emerging-population-health-priority.html Go Now

› Get more:  HealthGo Now

Healthcare News of Note: Providers should continue forward

Details: Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Expectations for convenient access to care in the pandemic era, a look at ICU bed use across the U.S., and the cost of hospitalizations among unvaccinated adults.

› Verified 3 days ago

› Url: https://www.hfma.org/topics/news/2021/09/healthcare-news-of-note--providers-should-continue-forward-movement.html Go Now

› Get more:  HealthGo Now

HealthFirst Financial: Opening the Door to Affordable

Details: Hospitals and health systems should be considering long-term objectives that will remain relevant despite any changes to the healthcare landscape. These may include growing market share, improving financial margins, increasing patient satisfaction, responding to rising consumerism, and investing in community health.

› Verified 6 days ago

› Url: https://www.hfma.org/topics/article/55278.html Go Now

› Get more:  HealthGo Now

Atlas Health: Helping healthcare providers offer patients

Details: Atlas Health’s process of finding money to cover patient expenses is designed to benefit both patients and providers. As of 2019, the American Healthcare Association’s most recent year recorded, 5,141 hospitals incurred $41.6 billion in uncompensated care costs. “This is about access to care and the reimbursement of dollars,” Davidoff said.

› Verified 7 days ago

› Url: https://www.hfma.org/topics/hfm/2021/may/atlas-health-helping-healthcare-providers-offer-patients-philanthropic-financial-assistance.html Go Now

› Get more:  HealthGo Now

6 Practices for Effective Managed Care Contracting

Details: Health plans that are fully committed to improving quality will furnish this information, recognizing that their success is linked to that of the provider. Interoperability and meaningful data exchange between the health plan and the organization, while challenging, are required to …

› Verified 6 days ago

› Url: https://www.hfma.org/topics/article/56183.html Go Now

› Get more:  HealthGo Now

Pressure Rising: COVID-19's ongoing impacts on healthcare

Details: Pressure Rising: COVID-19's ongoing impacts on healthcare labor trends. Across nearly every industry, the COVID-19 pandemic has reshaped how and where people work. For hospitals and health systems, early efforts to stem the virus’s spread spurred organizations to limit the number of individuals moving in and out of care facilities and to

› Verified 9 days ago

› Url: https://www.hfma.org/topics/finance-and-business-strategy/article/pressure-rising-covid-19s-ongoing-impacts-on-healthcare-labor-trends.html Go Now

› Get more:  HealthGo Now

Why responding to site-neutral payment risk is imperative

Details: The increasing risk for site-neutral payment reform will have a significant impact on future revenues for healthcare providers. Hospitals’ and health systems’ risk of exposure to site-neutral payments and care model changes can be grouped into three categories (as shown in the exhibit below), with the risk increasing for services that are

› Verified 4 days ago

› Url: https://www.hfma.org/topics/cost-effectiveness-of-health/article/why-responding-to-site-neutral-payment-risk-is-imperative-for-ho.html Go Now

› Get more:  HealthGo Now

Hospitals predict significant shifts in payer mix, revenue

Details: Through its Center for Health Insights, Guidehouse analyzed the research conducted by HFMA, and the following sections discuss key takeaways. Most leaders anticipate major shifts in payer mix. Approximately 70% of hospital and health system leaders are preparing for an increase in self-pay consumers and Medicaid beneficiaries post-COVID-19.

› Verified 9 days ago

› Url: https://www.hfma.org/topics/hfm/2020/november/hospitals-predict-significant-shifts-in-payer-mix-revenue-cycle-operations-post-pandemic.html Go Now

› Get more:  HealthGo Now

Healthcare News of Note: Healthcare entities are mandating

Details: Health Affairs report: ED physicians retain larger share of pie from out-of-network patients. An April 13 Healthcare Dive article detailed the findings of a new Health Affairs report measuring the financial impact of surprise medical bills on adult patients with private health

› Verified Just Now

› Url: https://www.hfma.org/topics/news/2021/04/healthcare-news-of-note--healthcare-entities-are-mandating-covid.html Go Now

› Get more:  MedicalGo Now

2020 vision: What to expect in healthcare finance over the

Details: Health system C-suites are aware of these risks, but not sufficiently energized to manage them or to invest appropriately in controlling them. This is a disaster just waiting to happen.” Goldsmith characterizes this cybersecurity concern as a sleeper issue.

› Verified 7 days ago

› Url: https://www.hfma.org/topics/hfm/2020/january/healthcare-2020s-views-on-healthcares-changing-landscape-from-thought-leaders.html Go Now

› Get more:  HealthGo Now

What healthcare stakeholders should know about the new

Details: Finally, states will have the option to extend Medicaid and Children’s Health Insurance Program eligibility for pregnant women over a 12-month period postpartum. Other items of note The legislation also includes increased funding for COVID-19 vaccination efforts and for the U.S. public health workforce, among other aspects of interest to

› Verified 9 days ago

› Url: https://www.hfma.org/topics/coronavirus/what-healthcare-stakeholders-should-know-about-the-new-covid-19-.html Go Now

› Get more:  HealthGo Now

New rule describes the penalty associated with regulations

Details: The proposed rule has many provisions that apply specifically to providers of air ambulance services and to health plans. See this fact sheet for a summary. Still pending are regulations to establish the arbitration process that will be used to determine health plan payments for out-of-network care if the parties can't agree during negotiations.

› Verified Just Now

› Url: https://www.hfma.org/topics/news/2021/09/new-rule-describes-the-penalties-associated-with-regulations-on-.html Go Now

› Get more:  HealthGo Now

Social determinants of health: Pushing the boundaries of

Details: Yet our country allocates the vast majority of national health expenditures to healthcare, with relatively little going to SDOH. Research supports the premise that a low ratio of social service spending to healthcare spending is associated with poor population health outcomes. If disproportionately high healthcare spending in the United States is a result of underinvestment in …

› Verified 1 days ago

› Url: https://www.hfma.org/topics/finance-and-business-strategy/article/social-determinants-of-health-pushing-the-boundaries-of-care.html Go Now

› Get more:  HealthGo Now

AI, automation and RPA in the revenue cycle

Details: Amy Assenmacher, senior vice president, revenue cycle, Spectrum Health: “I would say we’re mature, especially in terms of RPA. We became more serious about RPA 10 years ago when we partnered with a vendor that was proficient in this space, and we identified many use cases to start with, especially over the past couple of years.

› Verified 3 days ago

› Url: https://www.hfma.org/topics/hfm/2021/february/ai-automation-and-rpa-in-the-revenue-cycle.html Go Now

› Get more:  HealthGo Now

Healthcare Microeconomics 401

Details: Healthcare Microeconomics 401. When contemplating a consolidation today, healthcare leaders may need to consider new economic principles that account for consumer engagement and the impact of the consolidation on cost. When economic theory begins to diverge from observed behavior, a new theory usually is just ahead.

› Verified 6 days ago

› Url: https://www.hfma.org/topics/hfm/2018/february/59166.html Go Now

› Get more:  HealthGo Now

Hospitals with health plans have gotten a financial boost

Details: Hospitals and health systems that operate health plans received an unexpected bonus during the financial turmoil of the COVID-19 pandemic, industry watchers say. Provider-sponsored health plans are “acting like the perfect hedge,” said Kevin Holloran, senior director with Fitch Ratings. During the pandemic, health plans — both provider

› Verified Just Now

› Url: https://www.hfma.org/topics/news/2020/07/hospitals-with-health-plans-have-gotten-a-financial-boost-during.html Go Now

› Get more:  HealthGo Now

Health Care Finding Success, Challenges in Consumerism

Details: March 5—Providers and health plans have found some success—and identified new challenges—in their efforts to better engage patients as consumers who are willing to choose care based on price and quality. Engagement often is the first step—and a frequently challenging one—in the effort of healthcare providers to more closely involve patients in their care.

› Verified Just Now

› Url: https://www.hfma.org/topics/news/2019/03/health-care-finding-success--challenges-in-consumerism.html Go Now

› Get more:  HealthGo Now

Health System Integration: Prescription for Success

Details: Health system integration involves many stakeholders. Although the focal point in health system integration is the patient, many other stakeholders play a critical role, including physicians, employees, community leaders, and other hospitals and providers. With every initiative to improve patient care, the impact on these other groups must be

› Verified 1 days ago

› Url: https://www.hfma.org/topics/hfm/2018/may/60449.html Go Now

› Get more:  HealthGo Now

Human Trafficking: Hidden Problem, Hidden Costs

Details: Dignity Health’s Human Trafficking Response Program “ Share Learnings Manual” was developed “to ensure that trafficked persons are identified in the healthcare setting and assisted with victim-centered, trauma-informed care and services.” The document contains background information on the issues (including a discussion of myths

› Verified 5 days ago

› Url: https://www.hfma.org/topics/trends/61668.html Go Now

› Get more:  HealthGo Now

Best Practices for Affiliation Agreements Between Health

Details: Health systems and universities seem to be at constant odds, stuck in perpetual negotiations despite having long-term affiliation agreements. Whether the debate is over faculty recruitment packages, purchased services and program support agreements, payment for graduate medical education, or the myriad other issues that academic medical centers (AMCs) must address, …

› Verified 1 days ago

› Url: https://www.hfma.org/topics/hfm/2018/may/60459.html Go Now

› Get more:  MedicalGo Now

REPORT 3 of 4 Consolidation

Details: Health plans, physician practices, health systems, and other provider organizations are all asking this question, but in the opinion of experts watching the healthcare industry from a range of perspectives, there is no clear answer. Much depends on the degree to which changes in the

› Verified 7 days ago

› Url: https://www.hfma.org/content/dam/hfma/document/research_reports/PDF/51087.pdf Go Now

› Get more:  HealthGo Now

Supreme Court leaves Affordable Care Act intact, but

Details: In a 7-2 ruling, the court said Republican-led states did not have standing to challenge the 2010 law. The basis for the suit stemmed from Congress’s 2017 decision to nullify the penalty for not having health insurance. The plaintiffs had argued that the change rendered the law unconstitutional.

› Verified Just Now

› Url: https://www.hfma.org/topics/news/2021/06/supreme-court-leaves-affordable-care-act-intact--but-stakeholder.html Go Now

› Get more:  HealthGo Now

Related topics