Reimbursement

Analysis: Deadline passes for NC state employee Medicare reference pricing contract

An overview of the North Carolina Clear Pricing Project, its contract deadline passing and how North Carolina’s hospitals have reacted to the CPP.

By Chad Mulvany, FHFMA August 2, 2019

Analysis: Results from Medicare’s mandatory joint replacement bundle

A discussion of the results of the Medicare Comprehensive Care for Joint Replacement program and three keys to implementing a successful PAC management program.

By Chad Mulvany, FHFMA August 2, 2019

Analysis: The July 9 appeal of the lower court’s decision overturning the ACA

A review of the merits of the July 9 hearing on the ACA lawsuit and the question of whether the 20 state attorneys general and House of Representatives have standing to challenge the ruling that found the ACA unconstitutional.

By Chad Mulvany, FHFMA August 2, 2019

Single-payer concept for U.S. healthcare requires close fiscal scrutiny

The concept of "Medicare for All" has been a focus of much debate leading up to the 2020 presidential election, and the likely cost of such a program is an important factor that needs to be considered.

By Ken Perez August 2, 2019

Why hospital outpatient physical therapy is a good revenue source I HFMA

It makes good business sense for health systems to make outpatient physical therapy a priority given the payment landscape for such services and the value they can provide.

By John Britt August 2, 2019

3 essentials for creating and managing a high-value PAC Network

A health system's ability to succeed under value-based payment depends on its having a well- developed post-acute care strategy.

By Chad Mulvany, FHFMA August 2, 2019

Analysis: 6 strategies of successful ACOs revealed in OIG study

The six strategies used by successful accountable care organizations are discussed in a review of a study of successful ACOs, released by the Office of the Inspector General last week.

By Chad Mulvany, FHFMA August 1, 2019

Aug. 5-9: See what events are coming in healthcare

Stay ahead of healthcare news and developments with this listing of hearings, conferences, webinars, public forums and deadlines for the week of Aug. 5.

By Rich Daly August 1, 2019

Provider Risk Readiness Report

The results of a May 2019 HFMA study about risk readiness in which hospital and health system senior financial leaders share insights on their organizations’ risk capabilities and tolerance.

By HFMA August 1, 2019

Why the call for price transparency is a call for innovation

To navigate and respond to the murky issue of price transparency, hospitals and health systems must innovate.

By Jeff Helton,  PHD, FHFMA, CMA, CFE August 1, 2019
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