Thriving post-reset: Payer-provider partnerships after the pandemic
In the pre-pandemic era, payer-provider partnerships were often focused on aspirational goals of creating partnership value by managing costs of care and delivering high-quality care. Payers and providers aimed to drive differentiation and growth through these partnerships. In today’s more challenging macro-economic environment, these conversations are becoming more direct and practical, with both payers and…
David Johnson: The perils and possibilities of healthcare apps
In March of 2022, I coauthored a commentary titled “Healthcare’s final frontier: Engaging customers.” It contained this tongue-in-cheek Star Trek reference: “[H]ealthcare is now boldly going where most industries have gone before — into full-fledged consumer engagement.” Wanting full-fledged consumer engagement and making it happen are not synonymous. In the best of healthcare times, providers…
Healthcare News of Note: Providers in these 10 states may struggle the most to collect claims from payers
Over the past few weeks, I have found these industry news stories that should be of interest to healthcare finance professionals. 1. The top and bottom states for paying provider claims are detailed in new report “A connection exists between where a provider operates and how fast and accurately claims are paid,” according to a…
Can MRF data be used for comparative benchmarking?
The impetus for the MRF requirement — as outlined by the U.S. Department of Health & Human Services (HHS) in its 2019 hospital price transparency final rule — was to enable informed decision-making about healthcare services based on their pricing, thereby helping to drive down the cost of healthcare. Yet significant obstacles continue to block…
HFMA member spotlight: Salem Alasmari’s Ministry of Health work focuses on KSA Transformation 2030
HFMA recently spoke with new international member Salem Alasmari, PhD, CPHQ, PMP, who is with the Ministry of Health Saudi Arabia, about his work related to the country’s 2030 Transformation goals. HFMA: Please describe your current position and job role? Salem Alasmari: Since January of 2021, I have worked as the assistant director general for…
Healthcare News of Note: Women without insurance or with public insurance at the time of childbirth are more likely to report mistreatment, says CDC
Over the past few weeks, I have found these industry news stories that should be of interest to healthcare finance professionals. 1. More women without insurance and with public health insurance report mistreatment during maternity care than those with private insurance Maternity care in the United States was put under the microscope in a new…
HFMA Comments on Request for Information Regarding Medical Payment Products
HFMA presents its comment letter to CMS on Request for Information Regarding Medical Payment Products
The intersection of quality and finance, with Rick Gundling and Stephanie Mercado
HFMA's Rick Gundling and Stephanie Mercado from the National Association for Healthcare Quality discuss how all entities within a healthcare organization can work for better quality.
Healthcare News of Note: Unlocking new revenue streams is the healthcare industry’s top priority, while workforce issues are its top risk
Over the past few weeks, I have found these industry news stories that should be of interest to healthcare finance professionals. 1. Introducing new revenue streams is the top priority for the healthcare sector, and talent acquisition/retention is its top risk, survey says More executives in healthcare (44%) selected “introducing new revenue streams” as their…
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.