Reimbursement
The last time margins sank so deeply into the red was after the Balanced Budget Act of 1997, though today's margins are faring worse.
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Revenue Cycle Management
When organizations automate their revenue cycle, they can improve their bottom line while freeing up resources to spend on value-enhancing tasks.
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Strategic Planning
RWJBarnabas is partnering with St. Peter's and will announce a definitive agreement to acquire Trinitas Regional Medical Center.
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Capital Finance
Rent deferments will help some hospitals in the short term while the interest will make real estate companies whole by year's end.
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Supply Chain
A "gray market" for bogus products has emerged, with profiteers hoping to benefit from hospitals' need for PPE.
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Budgeting
Even with increasing health plan costs, most employers say they have no plans to reduce costs in their medical plans for 2021.
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Quality and Safety
The news could affect the economy, health systems' financial well-being and throw upcoming presidential debates into question.
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Billing and Collections
The task force recommends providers engage in conversations about bills long before the post-discharge account resolution process.
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Claims Processing
The majority of health plans say they do not feel ready to meet the new FHIR interoperability standards mandated by CMS.
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Workforce
Rural facilities tend to pay physicians more due to the difficulty in recruiting new talent to rural communities.
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Operations
Winning back patient trust is essential to stemming the avoidance of deferred care and pumping life back into volumes.
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Medical Devices
Because the process is so simple, it may be possible to automate so hospitals can stretch existing supplies.
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Compliance & Legal
In total, hundreds were charged in $6 billion fraud takedown related to telehealth and substance abuse treatment facilities.
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Policy and Legislation
Repayment will now begin one year from the issuance date of each provider's or supplier's accelerated or advance payment.
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Community Benefit
Investing in the social determinants of health can lead to positive returns on investment and creates fewer hospital readmissions.
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Accountable Care
Groups say CMS should get more feedback as proposals change the way ACO quality is assessed, reported and scored.
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Acute Care
About 260,000 currently insured cancer survivors ages 18-64 had coverage disruptions in 2018.
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Ambulatory Care
The institutions that were studied added more than $562 billion in value to the nation's economy in 2017, including direct and indirect economic impact.
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Analytics
The goal was to improve outcomes, reduce the recidivism rate and send inmates back into the communities with coherent care plans.
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Business Intelligence
The system's dashboard has resulted in a rolling two-week forecast that has closely mirrored caseload to date.
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ICD-10 & Coding
Doctors need to carefully and properly use the HCC codes, which indicate the expected costs for a patient.
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Meaningful Use
Administrator Seema Verma said changes to the program eliminate 25 measures and saves hospitals over 2 million hours of work and $75 million.
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Medicare & Medicaid
Some 77% of Medicare beneficiaries who enroll in Medicare Advantage plans with drug coverage will be in plans with 4 or more stars.
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Patient Engagement
Communication between consumers and payers needs to be seamless, and all need to have access to the same health plan information, Zipari CEO says.
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Pharmacy
Even with rebates and discounts, the U.S. consumer pays up to four times the average paid in other high-income nations.
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Population Health
Costs were driven largely by modifiable risk factors such as obesity, high blood pressure, smoking and poor diet.
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Risk Management
IT security is a legacy word, says Brian Selfridge: "This isn't cybersecurity, this is risk."
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Telehealth
New technologies also benefit providers as they look to retain service line revenues by offering remote care.
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Mergers & Acquisitions
In making the announcement, neither system mentioned the controversy made public in a letter to the Michigan attorney general.
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