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...
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...
Improving the Patient Financial Experience Throughout the Patient JourneyWhile many healthcare providers believe that improving the patient financial experience is a critical step for their organization, few have done so successfully. Read this brief to learn strategies that increase patient ...
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.
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 ...
