Like other savvy digital consumers, health plan members expect meaningful, flexible, and personalized experiences. Learn how payers are deploying data strategy to raise the bar.
Healthcare payer organizations are looking to new classes of data to enhance member experiences, In a recent survey, industry leaders sounded off on their priorities.
Kaufman Hall has released its third annual survey of hospital and health system leaders on the state of performance improvement and cost transformation efforts within their organizations.
Over the past decade, changes in the healthcare landscape have squeezed margins, brought disruptors into the marketplace, and fundamentally changed how providers get paid.
Hospitals' cash flow is under siege. Short-term outsourcing can quickly infuse four key revenue cycle functions with expertise, technology and additional qualified resources to defend...
Today's healthcare environment requires a new means to get the right comparative information to the right person at the right time. This approach enables executives, managers, and...
In the industry's ongoing transition from fee-for-service to value-based, healthcare executives are being challenged to develop a clinically integrated, evidence-based process for...
Existing utilization review (UR) paradigms are no longer suitable for addressing the changing commercial payer denial landscape and the obligations placed on case managers as a result of...
Healthcare digitization is still often perceived as being an endeavor on the level of the individual healthcare system or nation state. While there is some truth in that, it is equally...
According to a recent HIMSS Media survey of hospitals and ambulatory care leaders, fewer than half of healthcare providers have technology plans that are well aligned with strategic goals....
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?
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.
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 ...
