Payment Reimbursement and Managed Care

Cost advantage can be achieved in two ways: Identifying whether efficient levels of cost exist and benchmarking.

A joint venture between Banner Health and Aetna aligns value-based care with economic incentives to reduce the cost of care.

HFMA's Chad Mulvany shares the possible impact of a proposed rule that allows employers to make pre-tax contributions for employees to purchase individual coverage starting in 2020.

Healthcare organizations engaging in value-based contracts may be at greater risk for a breach if patient privacy and HIPAA are not front and center.

By being proactive and developing the capacity to change, your revenue cycle department can acquire the dynamism to respond as the Medicaid landscape shifts.

To maximize revenue, medical practices are focusing on value — delivering high-quality care while managing total costs — and managing risks associated with two-sided payment models.

As more data on price variability in healthcare becomes available, there will be an increase in activist employers and employer coalitions getting local health systems to lower prices.

If struggles to control healthcare costs continue, more U.S. employers may change their positions in favor of Medicare for All.

Technological innovations can help healthcare organizations improve their managed care programs.

Rolling averages are one way to benchmark patient SSI eligibility percentages.