Category Archives: Managed Care

Reasons to Attend the New to Healthcare Conference this October

By | October 3, 2023

Join us for our Annual New to Healthcare Conference on Friday, October 13, 2023 located at Mass General Brigham Assembly Row. This all-day hybrid (in-person and virtual) event provides a fundamental educational experience for people who are new to the healthcare industry or for those who wish to expand their knowledge across healthcare financial management functions and expand… Read More »

HFMA MA-RI New to Healthcare Conference Recap

By | November 10, 2022

Wow! We had a fantastic turnout at our Chapter’s New to Healthcare Conference on October 28th! We received lots of positive feedback from our attendees letting us know that the conference was informative and engaging. This was our first hybrid event and the technology was seamless thanks to expertise from our host, Mass General Brigham at Assembly Row.… Read More »

The OIG Urges CMS to Implement Solutions to Reduce Fraud in Medicare Part C and Part D

By | August 7, 2019

Recently, the Department of Health and Human Services (“HHS”) Office of Inspector General (“OIG”) issued its 2019 “Solutions to Reduce Fraud, Waste, and Abuse in HHS Programs: Top Unimplemented Recommendations.”  The OIG releases a version of this report each year outlining its top 25 unimplemented recommendations to reduce fraud, waste, and abuse (“FWA”) among HHS programs.  This blog post… Read More »

Emerging Medicaid ACOs: A State Experiment, One Year In

By | March 20, 2019

We hope you can join us on March 28th for the Health Care Delivery Transformation Committee’s first annual meeting, “Transformation or Disruption: Changing the Focus and Pace of Change in Healthcare Delivery.”  In the post below, Katherine Record discusses the transformative change in the MassHealth Program, one of the many topics to be covered at the meeting.  Last year,… Read More »

Are you curious about Value-based Care?

By | March 17, 2019

If you are interested in learning more about Value Based Care (VBC), join HFMA at the upcoming Health Care Delivery Transformation conferenceon March 28th. Joshua Mast, Senior Regulatory Strategist at Cerner will provide an introduction and foundation to this topic. He will be demystifying the alphabet soup of VBC, at a high level.  Joshua joined Cerner in September… Read More »

Transformation or Disruption? Registration is Open for Our Newest Conference

By | February 13, 2019

We are excited to announce that registration is now open for “Transformation or Disruption: Changing the Focus and Pace of Change in Healthcare Delivery.”  This conference is brought to you by our newly merged Healthcare Delivery Transformation Committee (formerly the EPM/PPM and Managed Care Committees).  The conference will take place on March 28, 2019 at the Four Points by… Read More »

Drug Pricing and Payment Policy: Key 2018 Developments and Potential 2019 Changes and Challenges

Following a number of drug pricing reforms implemented or proposed in 2018, 2019 likely will bring more action from HHS and Congress to reduce drug prices. Key Points: In 2018, the Administration implemented and proposed several policy changes to reduce drug prices or spending, and Congress passed new legislation prohibiting health plans from preventing pharmacies from informing plan… Read More »

Get Registered for Fall Educational Programs Today

By | October 24, 2018

Our chapter has a full schedule in November!  With two in-person programs and one webinar in before Thanksgiving, there’s something on the agenda for everyone. Capital Finance Seminar: Debt Management and Risk Management–From Basic to Complex November 1–Bank of America Merrill Lynch, 225 Franklin Street, Boston, MA 02110 Join us for an afternoon program highlighting debt finance and enterprise… Read More »

Introducing HFMA’s “Healthcare Delivery Transformation Committee!”

This fall two of the HFMA MA-RI Chapter’s Committees, the Enterprise Performance Management / Physician Practice Management Committee and the Managed Care Committee merged to form the newly founded “Healthcare Delivery Transformation Committee.”  The merger is a result of the changing healthcare delivery landscape; there are far more similarities than differences among the operational and financial concerns of managed… Read More »