HFMA

Ensemble Health Partners Recognized for the Third Year in a Row as a Top Workplace for its Commitment to Associate Engagement, Innovation and Work-Life Balance

Retrieved on: 
Wednesday, March 20, 2024

The Top Workplaces USA Awards are designed to recognize organizations around the country that have cultivated exceptional workplace cultures.

Key Points: 
  • The Top Workplaces USA Awards are designed to recognize organizations around the country that have cultivated exceptional workplace cultures.
  • The awards are a result of an internal, anonymous associate survey conducted by the research firm, Energage.
  • “We are proud to be recognized again as a premier employer of choice for top talent.
  • To search and apply for careers with Ensemble and join a Top Workplace, visit EnsembleHP.com/careers .

Capta Health Partners Launches Optimized Healthcare Revenue Ecosystem Management Model

Retrieved on: 
Thursday, March 14, 2024

CHICAGO, March 14, 2024 /PRNewswire/ -- Capta Health Partners, a leading provider of Revenue Cycle Management (RCM) optimization services, today unveiled its groundbreaking revenue ecosystem management solution, with Presbyterian Healthcare Services as their first partner.

Key Points: 
  • CHICAGO, March 14, 2024 /PRNewswire/ -- Capta Health Partners, a leading provider of Revenue Cycle Management (RCM) optimization services, today unveiled its groundbreaking revenue ecosystem management solution, with Presbyterian Healthcare Services as their first partner.
  • Operating under a shared risk-reward model, Capta bases fees on achieving specific NPR performance targets.
  • "Our nation's healthcare systems are under enormous pressures and need a new and innovative approach to help them maintain their autonomy and community focus," said Jason Lerch, President and COO of Capta Health Partners.
  • They are an ideal provider to partner with in building a revenue ecosystem management company to leverage their true best-in-class RCM expertise."

Healthcare Financial Management Association calls Patient Rights Advocate’s latest price transparency compliance report ‘irresponsible’

Retrieved on: 
Thursday, March 7, 2024

CHICAGO, March 07, 2024 (GLOBE NEWSWIRE) -- Long an advocate for consumerism and price transparency in healthcare, the Healthcare Financial Management Association (HFMA) today called the latest report from Patient Rights Advocate (PRA) “irresponsible” and “incorrect.”

Key Points: 
  • CHICAGO, March 07, 2024 (GLOBE NEWSWIRE) -- Long an advocate for consumerism and price transparency in healthcare, the Healthcare Financial Management Association (HFMA) today called the latest report from Patient Rights Advocate (PRA) “irresponsible” and “incorrect.”
    HFMA has maintained that to be effective, price transparency must offer clear information that is readily accessible to patients to enable them to make meaningful comparisons among providers.
  • The latest PRA report asserts that only 34.5% of the 2,000 hospitals it reviewed are compliant with the federal price transparency regulations implemented in January 2021.
  • PRA’s results contradict the Centers for Medicare & Medicaid Services (CMS) scorecard, which last scored compliance at 70% of hospitals.
  • “Beyond disagreeing with CMS’s assessment, we see PRA is consistently misinterpreting federal rules in each of its reports,” Stack said.

Healthcare Financial Management Association Launches New Executive Revenue Integrity Council with Support from XSOLIS

Retrieved on: 
Tuesday, December 19, 2023

DOWNERS GROVE, Ill., and NASHVILLE, Tenn., Dec. 19, 2023 /PRNewswire/ -- The Healthcare Financial Management Association (HFMA) and XSOLIS, the artificial intelligence (AI) technology company creating a more efficient healthcare system, announced today the creation of the Executive Revenue Integrity Council. The goal of the new council is to create a forum for leaders to address revenue cycle and reimbursement challenges, developing best practices through networking and education.

Key Points: 
  • DOWNERS GROVE, Ill., and NASHVILLE, Tenn., Dec. 19, 2023 /PRNewswire/ -- The Healthcare Financial Management Association (HFMA) and XSOLIS , the artificial intelligence (AI) technology company creating a more efficient healthcare system, announced today the creation of the Executive Revenue Integrity Council.
  • The Executive Revenue Integrity Council gives provider and payer leaders the opportunity to work together to develop solutions to systemic issues that create unnecessary costs and inefficiencies in the payment integrity process.
  • In addition, prior authorization, government relations and payer relationships remain top of mind for healthcare financial leaders according to Becker's Hospital CFO Report .
  • Revenue integrity executives from leading health systems and health plans across the U.S. are in a unique position to address these issues as part of the Executive Revenue Integrity Council.

HFMA Aligns with FinThrive to Introduce the Industry's First Revenue Cycle Management Technology Adoption Model for Health Systems

Retrieved on: 
Thursday, November 30, 2023

CHICAGO, Nov. 30, 2023 /PRNewswire/ -- The Healthcare Financial Management Association (HFMA) announces a strategic alliance with FinThrive, Inc., a healthcare revenue cycle management software-as-a-service (SaaS) provider, to co-launch a peer-reviewed, five-stage Revenue Cycle Management Technology Adoption Model (RCMTAM) designed to help health systems leverage industry benchmarks to assess their current state of RCM technology maturity and build best-practice plans to optimize revenue cycle outcomes.

Key Points: 
  • CHICAGO, Nov. 30, 2023 /PRNewswire/ -- The Healthcare Financial Management Association (HFMA) announces a strategic alliance with FinThrive, Inc., a healthcare revenue cycle management software-as-a-service (SaaS) provider, to co-launch a peer-reviewed, five-stage Revenue Cycle Management Technology Adoption Model (RCMTAM) designed to help health systems leverage industry benchmarks to assess their current state of RCM technology maturity and build best-practice plans to optimize revenue cycle outcomes.
  • Health systems increasingly signal a need to modernize their RCM technology stacks, initiating enterprise projects that favor vendor consolidation, automation and AI, and platform approaches.
  • "Our initial analysis of more than 30,000 individual data points shows the majority (42%) of health systems are at Stage 1," said Hemant Goel, CEO of FinThrive.
  • Through collaboration with HFMA and health system early adopters, we are eager to contribute valuable insights that empower revenue cycle leaders on their path to financial excellence in healthcare."

Anthem President Monica Schmude Recognized as One of the Most Powerful Leaders in Washington

Retrieved on: 
Tuesday, November 7, 2023

Anthem Blue Cross and Blue Shield in Virginia President Monica Schmude was recently recognized by the Washington Business Journal as one of its Power 100 for 2023.

Key Points: 
  • Anthem Blue Cross and Blue Shield in Virginia President Monica Schmude was recently recognized by the Washington Business Journal as one of its Power 100 for 2023.
  • View the full release here: https://www.businesswire.com/news/home/20231107656658/en/
    Anthem Blue Cross Blue Shield President Monica Schmude (Photo: Business Wire)
    “Monica Schmude has been a fixture in the health insurance industry for three decades, including the last 12 as mid-Atlantic market president for Cigna,” said the Washington Business Journal.
  • “But this year she jumped ship for a rival, taking the helm at Anthem Health Plans of Virginia in April.
  • Schmude is listed with 26 nonprofit, medical and insurance and advocacy leaders in a category the WBJ calls its Advocates & Game Changers.

Anthem President Monica Schmude Recognized as One of the Most Powerful Women in Washington

Retrieved on: 
Tuesday, October 10, 2023

Key Points: 
  • View the full release here: https://www.businesswire.com/news/home/20231010347946/en/
    Monica Schmude, President of Anthem Blue Cross and Blue Shield of Virginia (Photo: Business Wire)
    Schmude is listed with eleven other dynamic leaders making a difference in the field of medicine.
  • “From arts, nonprofit, and media mavens to corporate, political, and legal powerhouses, here are 169 women making a mark in Washington,” stated the magazine.
  • She is a member of The Economic Club of Washington DC and Leadership Greater Washington Class of 2020.
  • She was named to the 2019 Most Powerful Women in Washington (Washingtonian Magazine), recipient of the 2019 March of Dimes Heroine of Washington Award, served as the 2019 Program Chair for the Mid-Maryland Mission of Mercy, 2021 Most Powerful Women in Washington (Washingtonian Magazine), and was named an honoree for the Washington Business Journals 2021 Women Who Mean Business awards.

Equity Quotient Partners with the Healthcare Financial Management Association (HFMA) to Provide Healthcare Finance leaders with AI-powered Health Equity Solution

Retrieved on: 
Wednesday, October 4, 2023

NEW YORK, Oct. 4, 2023 /PRNewswire/ -- Equity Quotient, a new, AI-powered stakeholder intelligence platform, today announced the launch of its Public Health solution, providing easy access to rich data and insights required achieve health equity mandates to the more than 103,000 members of the Healthcare Financial Management Association (HFMA) across the country. Equity Quotient's data and analytics will enable HFMA members to benchmark their patients and outcomes to the communities they serve on a variety of socioeconomic statistics, helping them prioritize health equity and population health initiatives.

Key Points: 
  • "Healthcare finance leaders are faced with myriad health equity mandates that require advanced data and analytics to understand the communities they serve," said Todd Nelson, HFMA chief partnership executive.
  • Equity Quotient is the leading AI-powered technology partner that provides organizations with public health data and analytics to support the health equity imperative facing the healthcare ecosystem."
  • Together, Equity Quotient and HFMA will support healthcare finance leaders in exploring the current state of health equity metrics in their communities and how they compare to peer regions.
  • "Our goal is to increase access to data to support the nation's journey to health equity," said Perfecto Sanchez, Equity Quotient Co-Founder and Chief Growth Officer.

Anthem President Monica Schmude Recognized on Virginia 500 Power List

Retrieved on: 
Tuesday, September 19, 2023

Anthem Blue Cross and Blue Shield in Virginia announced today that its Plan President Monica Schmude has been named by Virginia Business magazine to its Virginia 500 2023 Power List.

Key Points: 
  • Anthem Blue Cross and Blue Shield in Virginia announced today that its Plan President Monica Schmude has been named by Virginia Business magazine to its Virginia 500 2023 Power List.
  • View the full release here: https://www.businesswire.com/news/home/20230919688275/en/
    Monica Schmude, President of Anthem Blue Cross and Blue Shield of Virginia (Photo: Business Wire)
    This annual list recognizes Virginia’s most powerful and influential leaders in business, government, politics, and education.
  • Compiled via staff research, the magazine selects Virginia’s 500 most influential leaders across 19 major sectors including real estate, manufacturing, higher education, and insurance.
  • “I am honored to be selected by Virginia Business as a leader in my industry and this state,” said Schmude.

athenahealth Names Neville Zar Senior Vice President, Revenue Cycle Management

Retrieved on: 
Tuesday, September 12, 2023

athenahealth, Inc., a leading provider of network-enabled software and services for medical groups and health systems nationwide, today announced that Neville Zar has joined the company as senior vice president, revenue cycle management.

Key Points: 
  • athenahealth, Inc., a leading provider of network-enabled software and services for medical groups and health systems nationwide, today announced that Neville Zar has joined the company as senior vice president, revenue cycle management.
  • In this role, Zar will oversee all service delivery elements of athenahealth’s revenue cycle management product suite.
  • Over his more than 20-year career, Zar has held numerous senior revenue cycle management roles.
  • Most recently he led the National Revenue Cycle Practice for Deloitte, where he was responsible for elevating revenue cycle performance for Deloitte’s healthcare provider clients.