Avalere analysis shows mixed results for federal value-based payment models
Avalere analysis found that 18 value-based payment models implemented by the CMS Center for Medicare and Medicaid Innovation (CMMI) drove a net increase of $7.7 billion in federal spending, with some models yielding substantial net Medicare savings while others generated substantial net Medicare losses.
The IPPS proposed rule, and tackling charge capture issues
Nick Hut and Shawn Stack discuss the proposed rule for the Inpatient Prospective Payment System. Later, Taylor Searfoss, a vice president at Ni2, an Infinx company, discusses challenges in charge capture.
Leading through the reset: 8 implications of the VC market contraction for healthcare leaders
Healthcare executives face a stark new reality in the digital health landscape. During and immediately after the COVID-19-pandemic, healthcare technology came to be seen as a panacea for addressing the systemic flaws in our delivery system. This perception spurred an explosion of venture capital (VC) financing and digital adoption: This collective momentum pushed VC funding…
Four financial challenges EDs face
Flat-to-declining payment rates, increasing Medicaid volumes, downcoding by payers, and increasing costs from waits and boarding have combined to increase financial challenges for hospital emergency departments in recent years.
Medicaid underpayments increasingly drive community benefits for nonprofit hospitals
Medicaid underpayments have increased from 32% to 45% of community benefits reported by nonprofit hospitals from 2011 to 2021, while financial assistance, or charity care, has decreased from 23% to 14% over the same period.
How healthcare organizations can build resiliency and drive growth in a challenging financial environment
Dive into this roundtable featuring five healthcare revenue cycle management executives who share their strategies for building and maintaining financial resiliency including investing in smarter technologies to elevate patient experience, capturing charges and streamlining operations.
HFMA’s Nelson receives AONL Honorary Member Award
Updated April 4, 2025 Todd Nelson, chief partnership executive and director of healthcare finance policy for HFMA, was selected to receive the American Organization for Nursing Leadership’s Honorary Member Award. The award recognizes Nelson for his support of AONL’s mission and his contribution to advancing healthcare through AONL’s core business. AONL, an affiliate of the…
News Briefs: Dr. Oz describes changes he would bring to Medicaid, Medicare Advantage
During his Senate confirmation hearing for the post of CMS administrator, Mehmet Oz, MD, was not asked about his past endorsement of a Medicare Advantage (MA) for All model, in which MA would expand to cover most Americans. He did sound willing to take action against MA insurers that allegedly overcharge the government through methods…
With finances more stable, healthcare CFOs eye growth opportunities
Even with lingering financial constraints, healthcare CFOs see room for initiatives that will help their organizations enhance revenue and perhaps even profitability. “We’re finally in that post-pandemic phase in the sense that organizations are starting to see margins stabilize,” said Alina Henderson, vice president for healthcare solutions with Strata Decision Technology. In Strata’s survey (registration…
People: 5 HFMA members move to new CEO and CFO roles
Five HFMA members have recently advanced to CEO and CFO leadership positions in healthcare. Ohio State Wexner Medical Center names Richard Silveria as CFO Richard Silveria joins Ohio State Wexner Medical Center in Columbus, Ohio, as CFO on April 1. He previously served as senior vice president and system CFO at Cape Cod Healthcare in Hyannis,…