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Payers test risk contracts with big pharma to improve adherence

Payers test risk contracts with big pharma to improve adherence

As analytics programs look for population data, some contracts are shifting accountability to…

Denials still a major risk to revenue cycle departments, despite build-out

Denials still a major risk to revenue cycle departments, despite build-out

Hospitals wrote off 90 percent more denials than six years ago, The Advisory Board…

Whitepapers

Removing the Hurdle of Provider Enrollment

Removing the Hurdle of Provider Enrollment

Switching to electronic payments could save the healthcare market an estimated $395 million each year. But until…

The Evolution of Utilization Review and Its Impact on Revenue Integrity

The Evolution of Utilization Review and Its Impact on Revenue Integrity

Existing utilization review (UR) paradigms are no longer suitable for addressing the…

News

HHS extends COVID-19 public health emergency declaration until April

HHS extends COVID-19 public health emergency declaration until April

This action marks the fourth time HHS has extended the declaration that has paid parity for telehealth and continues reporting waivers.

Healthcare M&A's down in 2020 but analysts say COVID-19 is a catalyst for future deals

Healthcare M&A's down in 2020 but analysts say COVID-19 is a catalyst for future deals

Forty-four percent of healthcare CFOs say the pandemic will drive an increase in partnerships across the healthcare ecosystem.

CMS issues final rule on healthcare technology access for seniors

CMS issues final rule on healthcare technology access for seniors

The rule is meant to ease undue burden for innovators and speed access to potentially lifesaving technologies.

Whitepapers

Gaining Actionable Insight into Financial Systems and Areas Impacting the Revenue Cycle

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 that's already flowing through financial systems into…

Credible, Defensible Estimates

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.

Clinical Quality Measures 101

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…