For a payer, the move from fee-for-service reimbursement to value-based payment can be painstaking--not just for you, but also for providers in your network. With the right data and a...
How well do you measure value and quality of care? Whether for payment or comparative reporting, your choice of measurement determines how well you and providers in your networks can...
Be prepared for the ongoing evolution of modernizing Medicaid. Administration's goal to deliver better care, smarter spending and healthier people, be sure you're aligned with the...
Service line structures are critical to understanding performance drivers and controlling operational and financial outcomes. This paper discusses how a service line-based approach to...
Talk to anyone in the Healthcare industry and before long you'll hear the same four letter word: cost. Cutting costs and saving money on procurement is an everyday challenge. But...
In the evolving world of ACA, health plan leaders must create a consumer-centric strategy to engage and empower their members in order to meet the ACA goals of affordable, high-quality...
With the shift to value-based care, patients are becoming more involved with their healthcare financials. Therefore, healthcare organizations need to make their revenue-cycle practices...
Home Health is a burgeoning and besieged industry; its growth connected to our aging population and increased competition. Here we address deficiencies in documentation and coding, and make...
Communication is the cornerstone of a healthy relationship between you and your patient. Preserving the context of previous interactions across all channel is key. How many communication...
Like all businesses, hospitals and clinics need to be paid for services rendered. And like all modern businesses, you face two key challenges in managing their revenue cycles. Learn more by...
Care Collaboration Success for Improved OutcomesThe 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.
Beyond Dollars and Cents: A Closer Look At ValueBeyond 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.
Debunk the Myth: Outsourcing Doesn't Mean Losing ControlWith 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?
Healthcare mergers and acquisitions in 2016: Running listWhile 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.
Clinical Quality Measures 101Although 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 ...
