Health care chief financial officers know how to set up contracts and manage finances of the organization under current reimbursement arrangements, but emerging reimbursement arrangements such as bundled payments and accountable care organizations that emphasize the coordination and quality of care bring new challenges, says Dan Marino, president and CEO at Health Directions LLC, an Oak Brook Terrace, Ill.-based consultancy.

For instance, CFOs now need to look at 30-day readmission rates and gain expertise in financially tracking, and analyzing quality indicators and appropriately contracting with payers. A payer may offer a 5 percent bonus on reimbursements for reducing readmission rates. But how does a CFO know if 5 percent is appropriate?

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