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...
CFOs and senior finance professionals working in healthcare organizations were surveyed to better understand where they're making strides toward agile planning methods and hurdles they...
Use our Patient Payments System Quiz to help you analyze the best way to collect patient payments. At the end of the quiz, we'll serve up your results along with expert insights and...
For a payer, the move from fee-for-service reimbursement to value-based payment can be painstaking--not just for you, but also for providers in your network. With the right data and a...
How well do you measure value and quality of care? Whether for payment or comparative reporting, your choice of measurement determines how well you and providers in your networks can...
Be prepared for the ongoing evolution of modernizing Medicaid. Administration's goal to deliver better care, smarter spending and healthier people, be sure you're aligned with the...
Service line structures are critical to understanding performance drivers and controlling operational and financial outcomes. This paper discusses how a service line-based approach to...
Talk to anyone in the Healthcare industry and before long you'll hear the same four letter word: cost. Cutting costs and saving money on procurement is an everyday challenge. But...
In the evolving world of ACA, health plan leaders must create a consumer-centric strategy to engage and empower their members in order to meet the ACA goals of affordable, high-quality...
With the shift to value-based care, patients are becoming more involved with their healthcare financials. Therefore, healthcare organizations need to make their revenue-cycle practices...
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 ...
