Finance and Business Strategy

How to promote patient loyalty by improving network integrity

To achieve enduring financial stability, health systems must pursue initiatives to improve margins. And a particular priority for them is to focus on improving the integrity of their provider networks, with the goal of building patient loyalty to the larger healthcare organization. The first step in such an effort should be to perform a network…

By Shawn Williams, FHFMA, CPA April 29, 2024

Robert Rebitzer: How to overcome the disruptive forces that can impede high-value innovation

In the 1980s, two valuable innovations, laparoscopic gallbladder surgery and electronic health records (EHRs), came to market. The former became widely adopted in about three years. The latter took three decades and billions of dollars in federal subsidies. The reasons behind the differing uptakes of health innovation are among the topics in the book Why…

By Liz DeForest April 28, 2024

A year after Silicon Valley Bank’s collapse, what have we learned about managing counterparty risk?

On March 8, 2023, Silicon Valley Bank (SVB) announced a $1.8 billion loss from the sale of securities to cover a decline in clients’ deposits. The following day, SVB’s stock dropped 60% and the bank saw a historic $42 billion in withdrawal requests. Twenty-four hours later, SVB was under the control of U.S. banking regulators…

By Zech Decker April 28, 2024

Why U.S. policy needs to focus on pruning the healthcare transaction thicket

Despite its huge disruptive impact, the Change Healthcare cyberattack seems to be fading from the headlines even as the after-effects of this disruption linger. What remains, however, is the unsettling awareness not only that the U.S. healthcare payment “system” is not secure, but also that the hospitals and physicians’ offices we all rely on when…

By Jeff Goldsmith, PhD (Sociology) April 27, 2024

Andrew Donahue: An open letter to Congress on nonprofit hospital finances

There’s a lot of bad information out there on nonprofit hospital finances. Part of the problem is run-of-the-mill scapegoating — stakeholders with an agenda using our business complexity to muddy the water. Part of the problem is classic misuse of information — good people with good intentions making the wrong assumptions. And part of the…

By Andrew Donahue, FHFMA, CPA April 26, 2024

The FTC’s new non-compete regulations will affect hospital agreements with physicians, unless courts intervene

Hospital advocates expressed concern about the implications of new federal regulations that prohibit employers from including non-compete clauses in employment agreements. Although tax-exempt hospitals largely fall outside the jurisdiction of the Federal Trade Commission (FTC), which will enforce the regulations, the newly issued final rule stands to affect clinical staffing. Non-compete agreements apply to between…

By Nick Hut April 24, 2024

It’s time to revisit your charity care policy

The cover story in the May issue of hfm focuses on a South Dakota health system that developed a new process to identify charity care patients. In this episode, HFMA Policy Director Shawn Stack discusses why good financial assistance policies and process are essential to patient care.

By Erika Grotto April 22, 2024

BESLER provides thorough Transfer DRG revenue recovery services

Hospitals require clear and simple paths through the challenges posed by changing regulations so they can spend more time and dollars focusing on enhancing patient care.

By HFMA April 1, 2024

News Briefs: Providers face trying times  in the first month after the Change Healthcare cyberattack  

Healthcare providers struggled financially and operationally in the first 30 days after a Feb. 21 cyberattack forced the shutdown of Change Healthcare’s claims submission and payment systems, among more than  100 other applications.  As of the week of March 18, parent company UnitedHealth Group had restored Change Healthcare’s payment platform and was reporting progress in…

By Nick Hut March 30, 2024

How to keep your balance sheet steady in tumultuous times

The balance sheet contributes significantly to cash flow at most not-for-profit (NFP) hospitals and health systems. Yet few organizations have developed a strategy that reflects the balance sheet’s contributions to financial sustainability. Throughout the operational and financial turmoil of the past few years, many health systems have relied on their balance sheet to compensate for…

By Robert Turner March 30, 2024
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