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The Margin Challenge in Value-Based Care
Fractional CFOs are uniquely positioned to help healthcare organizations thrive under value-based care by aligning financial discipline with patient outcomes, optimizing risk-sharing contracts, and driving sustainable margin growth. Value-based care (VBC) shifts reimbursement from volume to outcomes. Instead of being paid for every service delivered, providers are rewarded for quality, efficiency, and patient satisfaction . While this model improves care, it compresses margin

Derrick Hollings
Dec 13, 20252 min read


Best Practices for Capital Project Funding in Healthcare
Healthcare organizations should fund capital projects that align with mission, financial sustainability, and strategic growth. The best practices involve structured evaluation, data-driven prioritization, and balancing risk with opportunity. 1. Anchor Decisions in Mission and Strategy Capital allocation must begin with the organization’s mission and long-term strategic goals . Projects that directly enhance patient care, community health, or access to essential services shou

Derrick Hollings
Dec 13, 20252 min read


Bridge Plan: Your Roadmap for Financial Recovery and Long-term Sustainability
This article distills key insights and best practices gained from multiple successful performance improvement projects. The goal is to provide a roadmap that health systems facing comparable financial and operational difficulties can follow. It serves as a practical guide to overcoming financial challenges and achieving a successful turnaround. Overview This prominent essential health system delivers compassionate, patient-focused care, drives innovative medical research, an

Derrick Hollings
Nov 15, 202517 min read


Hospital Margins Through Optimized Revenue Cycle Management
Introduction In an era of rising costs, shifting reimbursement models, and increasing regulatory complexity, hospitals face unprecedented pressure to protect and grow their financial margins. While clinical excellence remains paramount, financial sustainability hinges on the effectiveness of Revenue Cycle Management (RCM), the engine that converts clinical activity into cash flow. Optimized RCM is no longer a back-office function; it is a strategic imperative. From accurate p

Derrick Hollings
Nov 15, 20257 min read


Strategies to Improve Hospital Performance: Enhancing Access, Efficiency, and Outcomes
In a healthcare landscape characterized by increasing complexity and elevated patient demands, hospitals are confronted with significant pressure to enhance their operational performance. The growing focus on reimbursement cuts, cost reduction, and positive patient outcomes requires a multifaceted strategy. Five critical levers for improving operating margins stand out: 1) enhancing access to care, 2) increasing 340B prescription fill rates, 3) optimizing revenue cycle yield,

Derrick Hollings
Nov 15, 20256 min read
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