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Critical Access Hospital Financial Leadership Series

Author: National Rural Health Resource Center

This series of critical access hospital (CAH) financial webinars is designed to assist CAH leadership understanding of CAH finances as they guide their organization through the transition to value-based health care. The CAH Financial Leadership Series is designed for those who are not necessarily financial experts but are part of a hospital's strategic leadership, including administration, boards and physician leaders. The four part series includes brief webinars on the following topics:

1.  CAH Basics of Cost-Based Reimbursement Webinar [FLASH - 19 minutes] Jeff Johnson, Wipfli LLP

     CAH Basics of Cost-Based Reimbursement Presentation [PDF - 641 KB] Jeff Johnson, Wipfli LLP  

Discussion agenda:

  • Provide understanding of differences in Medicare hospital reimbursement methods
  • Understand how CAHs get paid (interim rates versus final settlement)
  • Understand the impact of cost-based reimbursement on financial statement reporting

2.  CAH Top 10 Key Financial Indicators Webinar [FLASH - 15 minutes] Jeff Johnson, Wipfli LLP

     CAH Top 10 Key Financial Indicators Presentation [PDF - 545 KB] Jeff Johnson, Wipfli LLP

Discussion agenda:

  • Provide definition of key financial indicators important to CAHs
  • Understand how to use and interpret the key financial indicators
  • Learn how to utilize external data to understand your financial position
  • Provide resources for industry key financial indicator benchmarks 

3.  Service Line Planning Concepts for CAHs Webinar [FLASH - 22 minutes] Jane Jerzak, Wipfli LLP  

     Service Line Planning Concepts for CAHs Presentation [PDF - 1.08 MB] Jane Jerzak, Wipfli LLP

Discussion agenda:

  • Define “service line planning”
  • Learn the objectives and benefits of service line planning in CAHs
  • Explore using internal and external data to understand your financial and market position
  • View a sample of CAH service line modeling

4.  Value-Based Purchasing for CAHs Webinar [FLASH - 13 minutes] Jane Jerzak, Wipfli LLP

     Value-Based Purchasing for CAHs Presentation [PDF - 584 KB] Jane Jerzak, Wipfli LLP

Discussion agenda:

  • Define “value-based purchasing” in health care
  • Understand market trends in value-based purchasing
  • Discuss how might value-based purchasing concepts be implemented in CAHs
  • Learn how should CAHs prepare for this new reimbursement methodology

This project is/was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number UB1RH24206, Information Services to Rural Hospital Flexibility Program Grantees, $957,510 (0% financed with nongovernmental sources). This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.