Financial Health Leadership Documents

Financial and Payer Issues Publications

Recently Released Publications

	HHS Health Care Transparency Resource September 13, 2006 Web site includes information on the federal government’s perspective on transparency including: general information, health information technology standards, quality standards, price standards, pilot communities and programs, incentives, and federal action.
	Consumerism in Health Care August 21, 2006 Describes how hospitals can improve their revenue cycle in an era of consumerism. This report is part of the “Patient Friendly Billing Project.”
	Simplified Finances Empower Patients August 16, 2006 When it comes to demystifying health care costs, the patient may be the best guide.
	Real-World Applications of Revenue Cycle Mapping February 22, 2006 (HFMA, February 2006) Case studies that show the process mapping approach in action.
	Process Mapping the Revenue Cycle February 22, 2006 (HFMA, February 2006) Guidelines for health facilities to do a revenue cycle flow chart that helps to strategically identify future actions to create consistency, revenue improvement, productivity opportunities, and best practices.

Publications by Author

healthcare leadership library

	Real-World Applications of Revenue Cycle Mapping February 22, 2006 (HFMA, February 2006) Case studies that show the process mapping approach in action.
	Process Mapping the Revenue Cycle February 22, 2006 (HFMA, February 2006) Guidelines for health facilities to do a revenue cycle flow chart that helps to strategically identify future actions to create consistency, revenue improvement, productivity opportunities, and best practices.
	10 Largest Publicly Traded Managed Care Companies February 22, 2006 (Managed Care Week, December 2005) Charts of the biggest public managed care plans as measured by quarterly premium revenues.
	Heatlh Insurance Coverage: Estimates from the National Health Interview Survey, 2004 October 24, 2005 Fact sheet providing statistics on the levels of health insurance coverage in the United States as reported in the National Health Interview Survey.

Centers for Medicare and Medicaid Services

Final Policy Notice - Federal Reimbursement of Emergency Health Services Furnished to Undocumented Aliens. The CMS interpretation of new regulations for treating illegal aliens. May 9, 2005
Final Policy Notice - Federal Reimbursement of Emergency Health Services Furnished to Undocumented Aliens. The CMS interpretation of new regulations for treating illegal aliens.

Commonwealth Fund

	Defining High Performance December 6, 2005 Establishment of a National Quality Control Board for health care would enable establishment of coordinated, comprehensive performance indicators.
	Medicaid: Modest Steps on the Road to Reform October 10, 2005 The problems with Medicaid are symptoms of dysfunction throughout the health care system.
	Pay for Performance Measures and Other Trends in Employer Sponsored Health Coverage: Hearing testimony describing the factors in current pay for performance constructs that need improvement or revision. May 2, 2005 Pay for Performance Measures and Other Trends in Employer Sponsored Health Coverage: Hearing testimony describing the factors in current pay for performance constructs that need improvement or revision.

HFMA

	Consumerism in Health Care August 21, 2006 Describes how hospitals can improve their revenue cycle in an era of consumerism. This report is part of the “Patient Friendly Billing Project.”
	Meeting the Challenge of Consumer-Directed Plans November 14, 2005 Roundtable discussion of how hospitals can manage the latest trend in health plans, which may create problems with the current revenue cycle.
	Time for a Price Check? October 5, 2005 Explains trend of hospitals using price shifting toward “proprietary” services—services the hospital is uniquely providing and away from “commodity” services—those services that are commonly offered. This strategy is used to combat the effects of increased outpatient “niche” providers.
	A Strategy for Defensible, Sustainable Prices: Roundtable discussion on the importance of capital allocation in combination with strategic pricing as a viable method of hospital price setting. May 2, 2005 A Strategy for Defensible, Sustainable Prices: Roundtable discussion on the importance of capital allocation in combination with strategic pricing as a viable method of hospital price setting.

H&HN Magazine

	Simplified Finances Empower Patients August 16, 2006 When it comes to demystifying health care costs, the patient may be the best guide.
	Making It Right December 13, 2005 Health facility leaders should empower front-line staff to correct errors and mend relationships.
	Patient Authentication Emerges as Next Challenge November 28, 2005 Arguments in favor of a national standard for data collected at the time of patient registration.

Health and Human Services

	HHS Health Care Transparency Resource September 13, 2006 Web site includes information on the federal government’s perspective on transparency including: general information, health information technology standards, quality standards, price standards, pilot communities and programs, incentives, and federal action.
	Changes to the Medicare Claims Appeal Process: Regulations for appealing adverse determinations on Medciare claims by both beneficiaries and providers May 2, 2005 Changes to the Medicare Claims Appeal Process: Regulations for appealing adverse determinations on Medciare claims by both beneficiaries and providers

JCAHO

Principles for the Construct of Pay for Performance Programs. Provides policy advisory criteria for establishing compensatory rewards for achieving certain benchmarks. March 1, 2005
Principles for the Construct of Pay for Performance Programs. Provides policy advisory criteria for establishing compensatory rewards for achieving certain benchmarks.

Kaiser Network

Tracking Health Care Costs: Declining Growth Trend Pauses in 2004: Interview examines the implications of a study that shows that the rate of growth in health care remained flat in 2004, ending a trend of declining growth. June 1, 2005
Tracking Health Care Costs: Declining Growth Trend Pauses in 2004: Interview examines the implications of a study that shows that the rate of growth in health care remained flat in 2004, ending a trend of declining growth.

What Has Caused the Growth in Medicaid Spending in Recent Years? January 26, 2005
Webcast identifies the increased enrollment of low-income children and their parents as the primary driver in Medicaid spending growth.

Medical Economics Magazine

	When there's no money for raises December 12, 2005 Geared toward private medical practice, this article provides other types of compensatory benefits to maintain workforce morale.
	10 great programs for your PDA December 7, 2005 Advantages and uses of personal digital assistant for medical practices; software to enhance their use in a medical setting.
	Malpractice: Can you spot potential plaintiffs? December 1, 2005 This article looks at the key warning signals that can indicate a patient will eventually sue.
	Malpractice: Will a Jury Think Money Clouds Your Judgment? March 4, 2005 Article describes how juries can be persuaded to think that health care providers’ primary motivation is money and not the best interests of the patient.