Healthcare payers and providers are under increasing pressure and many are unable to overcome their challenges with their current IT solutions. For many Healthcare organizations, cloud is...
As the healthcare industry changes, organizations consolidate and grow to respond to the populations they serve. See how integrating workflows and analytics can be an asset to your...
The relationship between strategy, capital capacity, and risk has never been more important given margin pressures. Organizations must find the right balance between strategic investment...
Leaders at Halifax Health recognized that it was time to refine the messaging of their paper statements and modernize their payment options. See how they transformed a dire financial...
Patient financial engagement has never been more challenging - or more critical. Focusing on specific areas of improvement and tracking results gives you the insight needed to make...
As patient balances climb so does the cost to collect. So it's common practice for providers to seek cost-cutting measures for patient statements. But focusing on print cost reduction...
The challenge of value-based payment is not just the level of revenue at risk, but the difficulty of balancing multiple payment models. One way to bridge models is by applying principles of...
At-risk members or patients aren't necessarily those recovering from acute illness or catastrophic events. BCBS Nebraska boosted the success of their case managers by identifying...
Information sharing enables health plans to leverage data and analytical assets to deliver sustained value. The shared-risk payment models that are central to health reform require tight...
This case study illustrates how a payer with 10 accountable care arrangements and a number of other provider risk-sharing contracts used Geneia's advanced analytics platform to improve...
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.
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.
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 ...
