Performance & Financial Management

The performance and financial management of health and human service provider organizations depends on several factors, including quality measures, staffing models, and the organization’s overall internal processes such as revenue and billing cycles and unit costs. As the market shifts from volume to value, provider organizations face new challenges for financial viability and revenue maximization. Provider organizations must consider their performance, liquidity, risk tolerance, leverage, efficiency, and portfolio balancing to ensure optimal financial management and long-term sustainability as the market shifts away from fee-for-service models to value-based reimbursement.

Latest Resources

• WestEd – Winning Proposal For Commission On School Funding Accountability Project Services To Nevada Department Of Education, 2024
• Making The Pick On New Services  
• EMS Management & Consultants, Inc. – Winning Proposal & Contract For Ambulance Billing Services To Wisconsin’s City Of Sun Prairie Emergency Medical Services Department, 2024
• Best Practices For Assessing The Effectiveness Of Your Revenue Cycle Operations
• Seven More Tips For Improving Health Plan Collection Rates
• Navigating The Prior Authorizations Process: How To Maximize Revenue Opportunities
• Getting Paid For What You Do
• The Tech Journey To Performance
• Future-Proofing Your Practice: How RCM Strategies Can Make Or Break Your Performance & Growth
• Powering Innovation With Strength
• Evernorth Launches Outpatient Behavioral Health Practice
• Milliman, Inc. – Winning Proposal For PACE Actuarial Services To Washington Department Of Social & Health Services, 2024
• The Strategy Formula
• Tech Spending: How Much Is Enough?
• Policy Train To Value Measures

Navigating Your Financial Future: Best Of The 2024 OPEN MINDS CFO Summit

The adoption of value-based care may be moving at a glacial pace, but it is growing. Just last week, Centene Corporation announced they are teaming up with Pearl Health, a technology firm, to improve how health care providers are paid by focusing on the value of care they provide, not just the quantity of services (see Centene (CNC), Pearl Health Unite To Enhance Value-Based Care) and Thyme Care launched a value-based care model focusing on cancer treatment… Read

• Making Primary Care Work
• CFO As Growth & Sustainability Engineer 
• Ten Options For Funding Innovation & Infrastructure
• Nimble In Knowledge & Talent: The Re-Skilling Imperative
• The Changing Health Plan Perspective