Analytics

Analytics

Apr 16 | Susan Morse

Humana launches oncology model to reward integrated care

The insurer is offering providers analytics and compensation determined by metrics that address access to care, clinical status…

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Apr 10 | Mark Klimek

UnitedHealthcare expands bundled payments to Medicare Advantage

Providers in more than 30 states may participate in bundled payments for eight medical procedures.

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Apr 04 | Mark Klimek

Duke Health and BCBS of North Carolina launch Medicare Advantage company

Duke Health will provide medical services and population health management programs while Blue Cross NC will handle…

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Apr 03 | Susan Morse

Anthem finds competitive edge in offering employers integrated health benefits

Large employers are increasingly interested in integrating dental, vision, pharmacy, other benefits, due to…

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Apr 03 | Jeff Lagasse

Most healthcare providers are behind the curve when it comes to digital health transformation, survey finds

Challenges include clinician resistance to adopting new solutions and difficulties…

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Apr 01 | Jeff Lagasse

Doctors more likely to prescribe preventive therapy if prompted by EHR

The findings come as an increasing number of health systems are investing in system-wide EHRs, despite lingering issues…

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Apr 01 | Susan Morse

Hospital revenue cycle: Ready for change but facing big challenges

Declining margins and growing demands are forcing hospitals to rethink their rev cycle for the era of value-based care and…

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3d hologram of human brain coming out of an outstretched hand.

Mar 28 | Tom Sullivan

EmblemHealth works with physician group to deploy HealthReveal clinical AI tool within Epic EHR

EmblemHealth CEO Karen Ignagni says the effort gives a glimpse into the next-generation of…

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Mar 27 | Jeff Lagasse

Artificial Intelligence in healthcare projected to be worth more than $27 billion by 2025

The ability of AI to improve patient outcomes and the growing potential of AI-based tools for older…

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Mar 19 | Mark Klimek

Humana launches, expands bundled payments for its Medicare Advantage members

Value-based programs are in Humana's Medicare Advantage business, where insurer had a 17 percent market…

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Featured Resources

Care Collaboration Success for Improved Outcomes The 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.

Beyond Dollars and Cents: A Closer Look At Value 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.

Debunk the Myth: Outsourcing Doesn't Mean Losing Control With 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?

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Healthcare mergers and acquisitions in 2016: Running list While 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.

Analyze this: Health systems, health plans get to the core of big data Pamela Peele knows that people who subscribe to cooking magazines have a much higher risk of going to the emergency room. But how she knows that is a whole other story.

Once-failing hospitals say accountability, transparency key to surviving fallout from failing patient safety grades When Leapfrog released their Spring 2016 patient safety grades recently, 15 hospitals got slapped with a very public 'F' grade casting a spotlight on them that no institution wants. ...

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Clinical Quality Measures 101 Although 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 ...

Gaining Actionable Insight into Financial Systems and Areas Impacting the Revenue Cycle Hospital systems across the country are looking to streamline their billing and collection processes to become more efficient and better compete in their markets. The challenge many face is how to turn the data ...

Credible, Defensible Estimates In 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.

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