Martin J. D'Cruz

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To prepare for value-based healthcare reform and payment reform, healthcare finance leaders should: evaluate their organizations' competencies related to integration, risk management, and pricing; understand value-based payment models currently under study; enhance transparency of quality of care and pricing; become actively involved in efforts to measure(More)
Healthcare financial leaders should focus on initiatives that will help them increase their organization's margins in 2008, such as: Payment policing and standardization of contract requirements. Contract performance modeling. Shift in volume and cost risk to hospitals. Consumer-directed health plans, price transparency, and pay for performance. Health plan(More)
Payment trends that hospitals will need to respond to in 2006 are related to five areas of concern: The need to audit commercial insurers' payment for accuracy. The need for contract modeling and data-driven organization. The shift of volume risk from payers to hospitals. The shift of cost risk from payers to hospitals. The rise of consumer-directed health(More)
The healthcare industry is unique when compared to other industries in that multiple stakeholders manage healthcare services. Consumers are the ultimate users of these services; however, they have relatively little influence on their own health service choices. The industry is changing rapidly with new technologies making access to healthcare information(More)
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