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Reimbursement

Reimbursement

Recognizing the need to transition from a traditional fee-for-service model, see how a not-for-profit health plan not only lowered healthcare costs, but also adopted new provider contract...
The findings from this report, based on interviews conducted in May 2018 with over 2,500 primary health insurance subscribers, indicate that despite relatively high satisfaction, several...
In switching to value-based compensation, providers and payers are incentivized to make post-acute care work well. But a recent survey revealed numerous gaps in how hospitals, their post-...
Value-Based Reimbursements and quality-based incentives are replacing Fee for Service. With the government leading the way, health plans are adopting new ways of working with providers...
The right Revenue Cycle Management solution can dramatically improve efficiency, reduce costs, enhance patient satisfaction and improve the bottom line. This paper describes what to look...
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.
Is your health plan still using expensive, labor-intensive, one-off tactics such as mobile mammograms and bone density scans and 'chart chasing' to improve your Medicare Star...
For large integrated health networks, what impact do hierarchical condition categories (HCCs) have under value-based payment models? The short answer: a big one. Learn the seven steps to...
How can you succeed under new value-based reimbursement (VBR) models? For starters, healthcare systems must document and code full patient acuity, not just conditions treated during a visit...
CMS is moving aggressively to shift healthcare payments towards value-based payment models. How do hierarchical condition categories (HCCs) affect reimbursement for health systems and...

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