Reimbursement

Reimbursement

Feb 15 | Beth Jones Sanborn

Information sharing, widespread collaboration on education, outcome vigilance can help curb the opioid crisis

Marcia Conrad-Miller of CGI said if payers, providers, pharma work together on…

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Feb 15 | Jeff Lagasse

How poor provider communication can result in negative Yelp reviews

As consumers become more powerful in healthcare, online reviews have become a more prominent tool by which to gauge brand…

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Feb 14 | Jeff Lagasse

Aligning stakeholders' incentives in the shift to value-driven health

Singapore's bundle system has encouraged the shift to community-based care and prevention, with strong results.

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Feb 14 | Beth Jones Sanborn

Providers aren't talking to patients about costs and it's affecting patient satisfaction, VisitPay study shows

A third of respondents also said growing healthcare costs impact their ability…

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Feb 13 | Susan Morse

CMS Administrator Seema Verma lays out plan for 'digital data revolution'

Health plans doing business in Medicare, Medicaid, and the ACA are being asked to share claims data, and all…

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Feb 12 | Susan Morse

Sharing of real world data, getting patients involved, is needed for better pharma collaborations

Pharma wants to be a part of value-based programs in risk-based arrangements with payers.

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Dr. Claire Pomeroy addresses the social determinants at HIMSS19.

Feb 12 | Susan Morse

Spending money on the social determinants is an investment

Value-based care demands the switch to wellcare to raise outcomes and decrease costs, Claire Pomeroy says.

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Feb 08 | Susan Morse

High drug prices: Who's really to blame?

There's a whole lot of finger pointing happening among feds, providers, payers, pharmacy benefits managers and big pharma, in what HHS Secretary…

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Feb 07 | Jeff Lagasse

Government payment policies tied to hospital performance fail to improve patient safety

Implementation of these programs was not associated with reductions in device-associated CAUTI rates.

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Feb 06 | Susan Morse

Over 96 percent of health systems plan to expand virtual care, new survey shows

Data shows slow industry adoption, as close to 42 percent of respondents said their virtual care solution did…

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Featured Resources

Debunk the Myth: Outsourcing Doesn't Mean Losing Control With shifts in payer mixes and reimbursement structure, the margin of reimbursement has been shrinking steadily over the last five years. How do revenue cycle leaders navigate payment reform while maintaining stable business office operations?

Beyond Dollars and Cents: A Closer Look At Value Beyond the expected improvement in specific metrics, many organizations that outsource RCM with a trusted and certified partner are seeing several ancillary benefits of such agreements.

Care Collaboration Success for Improved Outcomes The nature of our healthcare ecosystem has been one of siloed care. Rarely do payers, providers and local resources come together with the patient's well-being prioritized as a unifying mission. Read how these organizations are getting it right.

MostPopular

Depressed docs? Depends on where they train

Three key executives set to depart Ascension

List: 769 hospitals fined for medical errors, infections

List: CMS 2019 Star ratings show Kaiser on top

News

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 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. ...

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 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.

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 ...

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 report ...

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