Pace of physician practice acquisition by health plans may accelerate post-pandemic
HFMA’s Chad Mulvany says it is likely health plans will have both motive and the wherewithal to acquire physician practices or employ physicians whose practices didn’t have the balance sheet to survive the revenue shock of the COVID-19 pandemic.
Healthcare organization partnerships with Area Agencies on Aging help reduce the total cost of care
Area Agencies on Aging are well-established resources for enhancing the health and well-being of a community’s elderly population and a natural partner for hospitals as they strive for a holistic approach to caring for older adult patients.
U.S. healthcare organizations should prepare for potential impact of coronavirus
U.S. healthcare organizations can mitigate the risk of an outbreak of the coronavirus by preparing now and being ready, even if there is little empirical evidence to suggest a case will arrive at their facility.
Social distancing due to coronavirus may have unintentional negative effects on seniors aging in place
The unintentional physical and emotional suffering social distancing may cause at risk seniors who are sheltering in place, will also increase the total cost of care, putting further COVID-19-related pressure on participants in alternative payment models.
Social determinants of health ROI challenges are not yet outweighing potential benefits to patients
The continued shift to value-based care ensures health providers will continue to address SDOH factors.
Quality is table stakes, but patient financial experience of care is key to future referrals
A high-quality patient financial experience of care is key to a steady stream of referrals.
Not like the others: House Ways and Means surprise bill legislation
Provider friendly House Ways and Means surprise bill draft legislation doesn't rely on a benchmark payment rate like competing versions.
Humana partners with private equity firm to expand its primary care capabilities
Humana employing primary care physicians will help improve financial results for its plans by increasing HCC and Stars scores (increased revenue) and reduce medical expenses by improving care management and using claims data to make referrals to lower-cost providers.
Is Walmart taking a page out of Clayton Christensen’s playbook?
Walmart developing a low-cost service focused on a segment of the market that traditional players tend to avoid – the uninsured and underinsured – may signal ambitions to move further into healthcare delivery.
HFMA provides comments in support of its members on ‘tri-agency’ price transparency proposed rule
HFMA comments on and suggests improvements to a proposed rule issued by U.S. Departments of Health and Human Services, Labor and the Treasury requiring health plans to provide their members with out-of-pocket cost estimates.