News and Insights

Cost Improvement

Diagnosing and Treating Readmissions


Hospital readmissions arguably are one of the biggest clinical issues facing healthcare systems today.  Otherwise known as “bouncebacks”, readmissions have proven to be extremely costly, and are taken as a concrete metric of inadequate quality.  According to a September 19, 2013 study in The New England Journal of Medicine, nearly…

Linking Activity to Cost: A Critical Role for the Finance Professional

hfm Magazine

The Supreme Court’s decision to uphold the ACA made it all but certain that targeted reimbursement reductions are on the horizon. The law created the Independent Payment Advisory Board (IPAB) with a mandate to drive down healthcare costs. With the power to modify reimbursement rates and requirements as their principal…

Lowering Costs per Case

Becker's ASC Review

There are several ways an administrator can cut costs from materials management to revenue cycle review, but one of the least-charted territories has been cutting costs related to clinical decision making. “Most delivery organizations have had some kind of cost efficiency activity going on for the last decade, but the…

Clinical Care Paths – A Foray into Clinical Decision-Making for the Finance Professional

hfm Magazine

For over two decades, healthcare delivery organizations have devoted extensive resources to cost management in response to shrinking reimbursement. They’ve used vendor consolidation and contract renegotiation to lower supply costs, and shared services to lower overhead. Combined with the wholesale consolidation of hospitals into larger systems with corresponding purchasing power,…

Engaging Physicians to Improve Quality and Lower Costs


Reform is driving an industry redefinition of “value” that challenges traditional healthcare business models. As demand for better outcomes at lower cost continues to grow, healthcare organizations that lack evidence-based value propositions will struggle to compete. In order to adapt to this new environment, healthcare executives will need to move…