Accounting & Financial Management
U.S. employers plan to continue offering health insurance plans to their employees, even in the face of rising healthcare costs and the availability of the exchanges.
Approximately one in six physicians will be victims of embezzlement at least once during their lifetime. Here are some tips to protect yourself, and your investment, from this form of insider theft.
Just in case you didn't get the memo earlier this week, hospitals should take note that the Centers for Medicare & Medicaid Services will soon allow Recovery Auditors to restart some reviews.
Chief financial officers at hospitals and health systems must track a multitude of difficult financial issues these days. One question, however, always stops a conversation cold: Why are our reimbursements declining?
Medicaid beneficiaries deserve the same access to healthcare services and products as people with commercial insurance or Medicare. But since Medicaid pays doctors and hospitals 27 to 65 percent less than commercial health plans, it makes it awfully difficult for providers to be payer agnostic.
South Nassau Communities Hospital CFO Mark Bogen spoke with Healthcare Finance News about risk, controlling costs and revenue challenges for his Oceanside, N.Y.-based organization.
Facing threats to net revenue, most healthcare organizations have embarked on massive cost reduction initiatives. Unfortunately, the first tactic for many of these initiatives continues to be a "tried and true" approach which is often ineffective -- operational benchmarking.
CMS plans to recompete the supplier contracts awarded in Round 2 of the Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program, with new contracts beginning July 2016.
When physicians are uninvolved in how expenses are handled in the larger health system environment, and it does not affect their income, behavior changes and apathy for the operational overhead ensues. Institutions leave themselves open to problems when a physician has no incentive to keep costs low.
Financial models involve a whole series of assumptions about such elements as volume, payer mix and salaries. While a health system may have historical data to work from, putting together projections for a new line of business is more difficult.