Understanding the System Bottom Lines for Market-Based Primary Care
The concept of primary care is being transformed by changes to its subsystems related to demand, supply, organization, and linkages.
Beyond the Rhetoric: Implications and Unintended Consequences of Tax Reform and Medicare Policy
Tax reform and changes in federal healthcare policy could have the unintended effect of exacerbating the challenges U.S. hospital face in contending with uncompensated care.
Fitch Maintains Negative Outlook for NFP Hospitals
Sept. 24—Not-for-profit hospitals’ operating profitability appears to have peaked two years ago, a rating agency concluded, as it maintained a negative outlook for the sector.
The Troubling State of Not-for-Profit Hospitals’ Finances
Ken Perez discusses options not-for-profit hospitals should be exploring that go beyond just better management of labor and supply costs in the context of current financial woes.
Balancing Innovation and Delivery
As healthcare organizations look toward moving into the next phase of innovation, they must not lose sight of their core mission.
Administration Meets Challenge to Risk-Adjustment Payments, Counter to Critics’ Assumptions
Responding to a New Mexico district court’s ruling against the risk-adjustment program established by the Affordable Care Act, CMS initially put the program’s payments to collections and payment on hold, but then took steps to reinstate the program.
Just How Different Is the Healthcare Market?
Healthcare stakeholders should start treating consumers in the same manner as other industries that operate more like free markets, writes Joseph J. Fifer, president and CEO, HFMA.
Health Systems Share ‘Pearls of Innovation’
A recent investor conference featured presentations by 27 tax-exempt health systems. Common threads include quality and safety and consumer focus.
Health Systems Present at Investor Conference
Investors, bankers, and rating agencies learned about the priorities of 27 health systems during a recent healthcare investor conference.
A Push to Streamline Value-Based Payment
Value-based payment is ripe to repeat past fee-for-service problems—widespread slowdowns as each entity took different approaches to data collection and sharing and, as a result, hampering interactions. CAQH CORE is getting in front of these challenges now.