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Fee for Service (FFS)

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New Jersey beats Amazon to the punch on self-insured health plan

New Jersey beats Amazon to the punch on self-insured health plan

The Healthcare Transformation Consortium is also going to use data to lower costs and improve…

Humana acquires large Medicare Advantage, managed care physicians group in Florida

Humana acquires large Medicare Advantage, managed care physicians group in Florida

The insurer is actively creating a network of high-performing, senior-focused…

Whitepapers

How to Improve Agent Productivity in the Revenue Cycle Process

How to Improve Agent Productivity in the Revenue Cycle Process

As insurance follow-up becomes more complex, reimbursements continue to decline, and with more…

Defining an Invested Assets Approach to Guide Your Advisor Selection Process

Defining an Invested Assets Approach to Guide Your Advisor Selection Process

Hospitals and health systems maintain over $360 billion of invested assets. Given…

News

Analyze this: Health systems, health plans get to the core of big data

Analyze this: Health systems, health plans get to the core of big data

Pamela Peele knows that people who subscribe to cooking magazines have a much higher risk of going to the emergency room. But how she knows that is a whole other story.

Once-failing hospitals say accountability, transparency key to surviving fallout from failing patient safety grades

Once-failing hospitals say accountability, transparency key to surviving fallout from failing patient safety grades

When Leapfrog released their Spring 2016 patient safety grades recently, 15 hospitals got slapped with a very public 'F' grade casting a spotlight on them that no institution wants. But with more patients weighing public hospital grades, experts, as well as a few…

Healthcare mergers and acquisitions in 2016: Running list

Healthcare mergers and acquisitions in 2016: Running list

While 2015 was a record-breaking year in healthcare mergers and acquisitions, 2016 saw more change as organizations across the industry adjust and adapt to the evolving financial landscape.

Whitepapers

Credible, Defensible Estimates

Credible, Defensible Estimates

In healthcare, every interaction with the patient matters. Especially in today’s environment of continuous improvement, efforts have been concentrated on coordination among providers, the patient care experience and quality outcomes – all laudable goals.

Clinical Quality Measures 101

Clinical Quality Measures 101

Although quality-reporting programs such as meaningful use provide incentives to help providers implement and use electronic health records (EHRs) to collect and report on clinical data, practices often need help deciding what data to collect, which measures to…

Gaining Actionable Insight into Financial Systems and Areas Impacting the Revenue Cycle

Gaining Actionable Insight into Financial Systems and Areas Impacting the Revenue Cycle

Hospital systems across the country are looking to streamline their billing and collection processes to become more efficient and better compete in their markets. The challenge many face is how to turn the data that's already flowing through financial systems into…