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....
The first HIMSS Insights eBook addresses the challenges of innovating in large organizations and health systems. Innovation is not about adding new layers of technologies, instead it should...
Switching to electronic payments could save the healthcare market an estimated $395 million each year. But until recently, payers have been limited in their ability to expand electronic...
This solutions brief summarizes how a multi-specialty medical group helped a hospital prepare for an increase in patient volume by collaborating with its emergency medicine physicians, case...
A 196-bed hospital in Minnesota experienced a lack of leadership and chronic instability in their anesthesia department. This solutions brief summarizes how they established a more...
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...
Launching initiatives is tiresome. And providing resources and information simply isn't enough. As this whitepaper shows, the only solution to greater engagement in health and wellness...
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?
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 ...
Credible, Defensible EstimatesIn 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.
