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OSF plans for value-based care in Medicaid
The majority (70%) of OSF HealthCare’s business is paid for by Medicare and Medicaid, prompting Mike Allen, FHFMA, MBA, the system’s CFO, to identify Medicaid as presenting the next big opportunity for assuming risk under a value-based care approach. “Trying to wade into a value-based agreement for the Medicaid population is not for the faint…
How predictive analytics and AI shed light on payer behavior
Providers and payers have become more collaborative as payment models evolve toward value. Still, payer-provider relationships can seem one-sided — decidedly in favor of the payer — as hospitals continue to face declining reimbursement and rising costs. The increase in denials is a great example, with rates skyrocketing by 20% over 5 years, according to…
CY 2024 OPPS/ASC Proposed Rule Summary
HFMA presents a detailed summary of the proposed rule issued by CMS updating payments under the hospital outpatient prospective payment system and the ambulatory surgical center payment system for CY 2024.
Research summary: Study identifies health systems’ two biggest concerns — staffing and financial performance
HFMA, with sponsorship by Lifepoint, surveyed 100 healthcare respondents to better understand health systems’ concerns, including strategic priorities, staffing issues, improving the patient experience, partnerships, market expansion opportunities and co-location. Staffing and financial performance were the two greatest concerns for nearly all health systems. To learn more, download the key findings from the survey.
HFMA Comments on Hospital OPPS: Proposed Remedy for the 340B-Acquired Drug Payment Policy for CYs 2018–2022
HFMA presents its comment letter to CMS on the proposed rule, Medicare Program; Hospital Outpatient Prospective Payment System: Remedy for the 340B-Acquired Drug Payment Policy for Calendar Years 2018–2022.
FY 2024 IPPS/LTCH Final Rule Summary
HFMA presents a detailed summary of the final rule released by CMS describing federal FY 2024 policies and rates for Medicare’s inpatient prospective payment system and the long-term care hospital prospective payment system.
Leverage healthcare price transparency data to promote financial sustainability
Healthcare organizations are encouraged to review strategies and how to collaborate with payers, among other insights in this article, in order to grow healthcare consumer trust, engagement and retention.
FY 2024 Skilled Nursing Facilities PPS Final Rule Summary
HFMA presents a detailed summary of the final rule updating the Medicare skilled nursing facility (SNF) payment rates for FY 2024.
HFMA 2023-24 Leadership Directory
HFMA's 2023-24 Leadership Directory provides a listing of the Association's National, Regional and Chapter leaders for its current fiscal year.
Healthcare Financial Management Association offers finance education in the Middle East
Chicago (Aug. 22, 2023) – The Healthcare Financial Management Association (HFMA) is offering a new international educational opportunity with a one-day healthcare finance session at the Global Health Exhibition in Riyadh on Oct. 31. Selat, a Riyadh-based revenue cycle management (RCM) consulting firm and their training firm Nawa, is the exclusive sponsor of the event. …