Increase Profitability

RPM Improves Hypertension Outcomes but Drives Up Costs

• Remote Patient Monitoring (RPM) benefits hypertensive patients by boosting medication adherence and slashing hospital visits. A study revealed a 3.3% rise in medication fills and …

Value-Based Reimbursement Grows as Providers Take on More Risk

• The shift towards value-based reimbursement in healthcare continued to grow in the past year, with over half of healthcare payments in 2022 being made through value-based …

Four Value-Based Care Capabilities for Success with New Care Models

• Providers adapting to the evolving healthcare landscape must develop four essential capabilities outlined in the Healthcare Financial Management Association's (HFMA) "Value …

Three Ways to Invest in Senior Living

• The senior living industry faces a confluence of challenges and opportunities, primed for transformative change. The demographic landscape underscores this urgency, with …

What Do Value-Based Care Startups Need to Do to Attract Investors?

• During the pandemic, investment in value-based care startups experienced a fourfold increase, reflecting the healthcare industry's shift away from fee-for-service care. As the …

Why Focusing On Senior Living Could Help Grow Your Business—And How To Get …

• Having successfully established your business, while each business is unique, the universal quest for growth persists. One area that merits your attention is the senior living …

How can Health Financing Literacy Transform HealthCare Accessibility and …

• This inquiry delves into the profound impact of health financing literacy, examining its potential to transform healthcare accessibility and affordability. By equipping individuals …

Hospital Downtime Planning: The Right Strategy & Technology to Ensure …

• Hospitals are hubs of continuous activity, providing critical care around the clock, undeterred by obstacles. Nevertheless, the seamless flow of patient care encounters disruptions …

Digital health should brace for 'significant amount of churn' as hospitals …

• According to a recent survey by Panda Health, digital health companies should prepare for a potential shake-up as contracts signed during the COVID-19 era with hospitals are …

How heightening patient engagement can reap financial rewards

• Patient engagement has emerged as a crucial concern for healthcare provider organization executives, particularly due to the shifting dynamics where patients are approaching …

Telemedicine visits cut health system employee care costs by nearly 25%, finds …

• A study conducted by the Perelman School of Medicine at the University of Pennsylvania has revealed that telemedicine visits have significantly reduced health system employee care …

Economics of a Health System’s Direct-to-Consumer Telemedicine for Its Employees

• Employers in the United States have increasingly been offering a direct-to-consumer (DTC) telemedicine benefit for low-acuity or minor illnesses to their employees.1-3 By 2021, …

What hospitals should think about when considering mergers

• For strategic reasons or simply to survive, more hospitals and health systems are expected to be looking closely at mergers, acquisitions or some type of partnerships, analysts …

AHA Advises Congress How to Advance MACRA Payment Models

• On behalf of our nearly 5,000 member hospitals, health systems and other health care organizations and our clinician partners — including more than 270,000 affiliated physicians, 2 …

3 Cost of Care Strategies for Health Plans to Mitigate Revenue Losses From …

• Health plans must act now to protect their profits. Billions of dollars in revenue are disappearing due to changes in federal regulations that will cause an estimated 15 million …

New Bill Aims to Boost Medicare Access to Chronic Care Services

• New legislation aims to eliminate the cost-sharing requirement for Medicare beneficiaries to get chronic care management services and reimburse providers for 100% of the payment. …

How data can save value-based care

• A unified data ecosystem will provide the foundation for the next generation of patient-care technology. A combination of comprehensive data, sophisticated analysis and rigorous …

How automation helps hospitals improve operating room access and grow revenue

• It’s no secret that hospitals are struggling financially – and for many those struggles are likely to continue for the foreseeable future. At the same time, surgeons continue to …

How to support employees with a simpler health care experience

• A combination of innovative digital strategies and high-touch member advocacy helps create personalized benefit experiences for employees. With today’s economic and social …

Vision meets reality: Why concierge medicine offers an optimal environment for …

• For concierge doctors, practicing in a model that completely reverses the traditional paradigm, the difference in chronic care can be profound. As most physicians will attest, …

The healthcare marketing landscape in 2023

• The new normal is no longer new. All industries are trying to keep up with “the new normal” since the pandemic but no other industry has been impacted like the healthcare industry. …

Dangers of outsourcing your billing

• Complexity and cost. Those are two reasons why clients tell us they use a third-party, offshore company for their billing operations. This practice has become particularly …

Driving revenue growth in your medical practice

• The challenges to sustaining a successful medical practice are numerous-declining reimbursements, government regulations, and third-party interference, among others, all play a …

Is Your Revenue Cycle Management Strategy Patient-Friendly? Find Out Now

• The healthcare industry is constantly changing, and providers and insurers need to adapt to new trends to improve patient outcomes and control costs. Two significant trends that …

Turning cancellations into revenue

• A new scheduling system can revolutionize medical practice. The internet has changed the way all industries do business. It has permitted consumers to give direct and instant …

Patient engagement is the first step in getting paid

• Patient engagement begins by recognizing that greater responsibility for payment has also led to greater expectation and choice on the part of patients. Asking valued patients for …

Rev up your practice’s revenue

• Cost-saving initiatives that you need to know. With inflation reaching a four-decade high and the healthcare industry recovering from the lingering effects of the pandemic, health …

Digital Innovation and AI in Revenue Cycle Management

• Digital Innovation and Artificial Intelligence are two huge topics recently in the world of Healthcare IT. We've talked about the many areas in which they are actively making a …

Don't forget this important step in your practice's medical billing cycle

• More than half of U.S. medical practices saw a decrease in revenues of 25% or more in 2020, as patient volume for basic medical care dwindled and costs rose because of COVID-19. In …

CMS Grades 21 Payment Models

• The nine models geared toward acute and specialty care produced better results than the 12 that focused on primary care and population health. When CMS released the dryly titled …

Patient Experience with Revenue Cycle Management

• So often in talking about Revenue Cycle Management (RCM) the focus is placed onto the organization. How do we improve RCM? How to can we incorporate digital solutions into RCM? …

2 Tips for Optimizing Revenue Integrity in 2023

• Since revenue integrity departments tend to be relatively new, many leaders wonder how to best elevate a revenue integrity program. As the revenue cycle continues to be an area of …

Investing in the new era of value-based care

• Recent trends appear to make a case for investing in value-based care. Here’s why value-based models now show both the potential and propensity for growth. Value-based care has …

How Much Do Medical Billing Companies Charge?

• Most medical billing companies charge customers in between 2% to 10% of claim price. However, there are other ways billing companies charge for specialty clients or practices …

Exploring the Role of Supply Chain Management in Healthcare

• Healthcare supply chain management leaders are looking to become more efficient and resilient as they continue to face significant supply chain disruptions. Cutting healthcare …

Preparing for a coding audit: A guide for physicians

• You’ve received a request for medical records from a payer, who is going to conduct an audit on your claims. Your Electronic Health Record (EHR) system is excellent, the notes are …

Easing the transition to value-based care through EHR

• Although value-based payment models offer several advantages compared with fee-for-service models, practices are sometimes reluctant to try them due to concerns about the …

4 Key payment trends impacting physician practices

• For a modern medical practice, efficiency is everything. Labor costs continue to increase, putting a pinch on practices that are still recovering from pandemic shutdowns. An August …

Technology Solutions Are Critical to Value-Based Success

• The transition from fee-for-service medicine to value-based payments represents the greatest shift in healthcare in more than a century; according to CMS, by 2030 the vast majority …

How consolidation, automation and incremental improvements can help RCM

• Health systems have increased their focus on digitization of patient interactions across multiple departments including the revenue cycle. To continue improving the patient …

Telehealth Visits Can Improve Revenue, But They’re No Cornucopia

• In the Spring of 2020, a number of institutions health, education, judicial, and others went through a wrenching technological transformation: To prevent the spread of COVID-19, …

Advancing Equity Through Value-Based Payment: Implementation And Evaluation To …

• Value-based payment (VBP) is a powerful and widespread health care transformation movement that has potential to improve health equity. The care delivery and payment flexibility …

Staff, Technology Investments Help Practices Shift to Value-Based Care

• Nearly 75 percent of primary care practice leaders have invested in additional staff to accommodate the shift to value-based care, while 71 percent have added new technology. …

Primary Cares Initiative: How eConsults Provide Support

• Primary care is a vital resource in dealing with the many factors altering the healthcare landscape. For years, primary care delivery has shifted along with changes in the …

Six Steps for Shoring up Your Revenue Cycle's Telehealth Billing

• Now more than ever, revenue cycle leaders should make sure teams are billing telehealth services correctly and are checking claims against the information found in the recent OIG …

How Your Practice Can Thrive in a Patient-Centric Health Care Landscape

• There is no escaping the talk of consumerism in health care. This new approach to health care began several years ago and appears to be here to stay. In fact, a 2020 health care …

How physicians can provide better care for patients with chronic conditions

• It's well documented that the bulk of patient health outcomes are impacted by factors outside of clinical care, ranging from diet to education to housing. It would seem obvious, …

UniDoc Shows How Telemedicine Can Meet Regulatory and Cost Requirements

• How H3 Cube Provides Broad Health Care CoverageAn H3 Cube can be set up anywhere, indoors or outdoors. A nurse or technician checks in the patient. The cube provides privacy, while …

How to Implement Chronic Care Management (CCM) Codes in a Clinical Practice

• Part one of this series provided an overview of the Remote Physiological Monitoring (RPM) codes. Readers are encouraged to read part one prior to part two. In part two of the …

Sometimes Value-Based Care Isn’t Very Valuable

• Over the past decade, “value-based care” and its corresponding contracts have become extremely popular in the managed care industry. These arrangements are a large and growing area …

What Hospital Success Looks Like Under Value-Based Care

• Hospitals are increasingly turning to value-based care initiatives to transform care delivery, lower the total cost of care, and improve patient outcomes. Unlike traditional …

Getting a Handle on Quality and Value-Based Analytics in your Medical Group …

• Having the right data helps medical group practices make better decisions, which can pay off as more reimbursement shifts into value-based arrangements. While the pace of adding …

Why Independent Practices Need EHRs to Boost Productivity

• As private practices everywhere struggle to maintain their independence, they face changing reimbursements, demanding regulatory requirements, and ever-increasing costs. …

Bridge the Gaps between Payer and Provider by Automating Your Revenue Cycle

• The health care industry is rapidly evolving. COVID-19 has uncovered a litany of flaws in health care systems, leading to massive changes in the way patients, providers, and payers …

Patient Financial Clearance Solutions Enhance Price Transparency

• The world is evolving at a rapid pace, and healthcare is no exception. Patients are more connected to their health than ever before, putting the power of care into their own hands. …

Improve Patient Care and Team Engagement by Using Team-Based Care in …

• In the spring of 2020, the COVID-19 pandemic accelerated the adoption of telemedicine (virtual visits) among patients, health care professionals, and health systems. In this …

3 Questions to Ask if Your Practice Has Trouble Collecting Timely Patient …

• Running an independent healthcare practice isn’t easy, and few practices have the resources or bandwidth to chase down late payments. While most patients want to pay their bills on …

Why It’s Time for Your Practice to Adopt Digital Payments

• For both providers and patients, digital wallets offer greater convenience, ease of use, efficiency and security than traditional methods of medical bill payment. Virtually anyone …

4 Keys to Delivering a Retail-Like Patient Experience Journey

• For patients, it’s as much a plea as it is an ultimatum to their providers, one in which they essentially are saying now is the time for the healthcare industry to collectively and …

Optimising Chronic Disease and Post-COVID-19 Care Based on Digital Platforms

• Utilising IT solutions to improve management, monitoring, and treatment at the grassroots level, while improving people's self-care capacity, is a proposal from healthcare …

Sharpening Clinical Communication Strategies for Better Care

• Clear communication and real-time collaboration are critical to delivering lifesaving healthcare. From landline phones and public address systems to pagers and smartphones, …

6 Ways to Improve the Telehealth Patient Experience

• Access to healthcare has become even more critical than ever. The COVID-19 surge did not stop healthcare workers from fulfilling their oath and addressing medical concerns quickly …

A Checklist for Successful Hospital Cost Reporting in the Time of COVID-19

• The impacts of pandemic-related cost reporting changes recorded in providers’ cost reports will be pervasive, affecting nearly every aspect of the reported data. In particular, …

Step-by-Step, Methodist Health System Cured the Pain Points within the Revenue …

• Methodist Health System, headquartered in Omaha, Nebraska, went all-in on automating the revenue cycle, starting in 2018 and going live in 2019. The health system worked with Alpha …

What Would Permanent Telehealth Coverage Mean for Hospitals? 5 CIOs Answer

• Many states are relaxing COVID-19 restrictions and dropping public health emergency designations, moves that affect payers' decisions on how to reimburse for telehealth …

Strategies to Reduce No-Shows

• Missed medical appointments waste staff time, affect practices’ bottom lines and result in negative outcomes for patients. A recent Forbes study found that no-shows cost the U.S. …

How to Overcome 3 Top Revenue Cycle Challenges in 2022

• Financial pressures are reaching a tipping point in today’s physician practices. Across my 30-plus year career as the owner of a growing orthopedic practice, I’ve watched a …

6 Tips for Modernizing Your Medical Practice

• When running a business, it’s integral to follow the adage, “adapt or face extinction.” Yet, many private practice owners and practitioners are still doing the same things they did …

3 Ways Conversational Insight Can Unlock a Positive Patient Experience

• The healthcare landscape is changing, and not just because of the pandemic. Trends like consumerization and reimbursements tied to patient experience have pushed many healthcare …

Healthcare Leaders Trusting AI to Improve Outcomes and Support Day-to-Day Work

• A new survey has concluded healthcare leaders are growing more convinced that AI can improve care outcomes, reduce costs and meet health equity goals though generating near-term …

Meeting Practice and Patient Priorities in 2022: 3 Predictions for Health IT

• In 2020, healthcare providers quickly implemented new solutions in response to the COVID-19 pandemic. This year, providers evaluated their ongoing needs and optimized their patient …

Role of Engaging Physicians in Data-Driven Healthcare Environment in 2022

• Prior to the COVID-19 pandemic, physicians were attuned to the operational and financial challenges faced by most hospitals and healthcare systems. They just weren’t necessarily …

How Digital Transformation Can Improve Hospitals’ Operational Decisions

• The use of digital technologies in clinical decision-making has received the most attention. But they also have the potential to help hospitals make better decisions in many areas …

How to Adapt to the Rapid Changes Behind Patient Financial Engagement …

• Salucro Founder and CEO Clayton Bain discusses key findings from the 2021 Patient Payment Technology Report, and why it’s important to adopt patient engagement preferences and …

Revenue Cycle Management 2.0: The Key to Successful Healthcare Finance

• The impact of COVID-19 means that it has never been more important for those in healthcare to manage their revenues effectively. As a result of the pandemic and several …

How Hospitals Can Build Trust and Bolster Patient Experience Through Data and …

• In any industry, the systems created to enhance customer experience are in orbit around a singular premise: trust. In healthcare, trust is foundational to patient experience, yet …

Patient Engagement Best Practices to Avoid the January Appointment Slump

• As insurance deductibles reset, the first quarter is often a slow time of year for medical practices. In January, many patients make the choice to delay care until later in the …

How to Help Practice Employees Feel Valued

• If they aren’t happy, they’ll leave. That's the mantra all employers, including physicians and practice owner, should take to heart. Especially today during the "Great …

Essential Healthcare Cybersecurity Considerations From the HSCA

• The Healthcare Supply Chain Association (HSCA) recently released key cybersecurity considerations for medical device manufacturers, healthcare delivery organizations, and service …

Lost value: Three Ways to Unlock the Hidden Intelligence in CRM Data

• It has long been known that understanding  – and adapting to – your customers’ behaviours and preferences are central to sales success. The right level of accurate and …

Bringing Healthcare Data Together for Better Patient Outcomes

• The problems most hospitals and health systems face today are not a lack of data. In fact, there has been an exponential increase in data from both clinical and operational …

Data Drives Value-Based Healthcare

• Acquiring knowledge through advanced analytics on value-based care is a critical success factor in today’s healthcare market. Value-based care aligns diverse interests, including …

3 Ways Technology Empowers PCPs and Patients to Transform the Health Care …

• Tech-driven connectivity and collaboration tools empower primary care providers (PCPs) to shepherd patient care, while simultaneously empowering patients to make more informed and …

Improving the Continuum of Patient Care Through Technology

• In past years, governments and health systems have explored ways to address health population management and chronic disease challenges. I’ve seen an increase in efforts to come up …

Value-Based Care Driving Efforts to Improve Patient Access

• Value-based care is one of the key drivers of health system efforts to improve patient access to medical services, according to survey research from the Center for Connected …

How Telehealth-EHR Integration Can Streamline the Virtual Care Experience

• Many hospitals and health systems had begun forays into telehealth before the COVID-19 pandemic struck. But all were caught off guard by COVID-19 and the drastic and immediate need …

Remote Patient Monitoring and the Future of Healthcare Management

• Even before the COVID-19 pandemic, growing numbers of healthcare providers were exploring remote patient monitoring (RPM) as a supplement to in-person office visits to better …

Embracing Healthcare’s Digital Transformation

• Leaders surveyed in Huron research identify key organizational priorities in the year ahead, including optimizing business operations, driving growth, and expanding and enhancing …

How Interoperability Achieves Cost Savings in Specialty Pharmacy

• The pandemic has shown firsthand the important role digital connectivity can play in managing complicated health challenges. It required complex navigation of our often fragmented …

Creating a Post-COVID Remote Patient Monitoring Strategy

• No population is more eligible for RPM solutions than patients with chronic care management needs. According to the **Centers for Disease Control and Prevention**, roughly 60 …

How Data Can Improve Healthcare for a Growing Senior Population

• The decline of their health, financial difficulty, personal safety risks and the loss of independence — when it comes to aging, our seniors have a lot on their minds. In a strange …

Improving the Patient Experience and Profit Distribution in Healthcare

• The difference between healthcare and any other “service” comes down to just one distinction: It is special due to its practitioners. Doctors were in what was called “the noble …

4 Best Practices for Building a Long-Term Telehealth Workflow

• Providing telehealth solutions for your patients is one of the best ways for you to increase your patient’s health outcomes. Today, it’s easier for you to provide healthcare …

Emerging Trends in Patient Engagement

• Intrado recently administered a survey of College of Healthcare Information Management Executives (CHIME) members, including executives from a variety of leading healthcare …

How Private Practices Can Utilize Technology to Deliver Quality Patient …

• Your ability to attract and retain patients will depend on how well you and your staff understand your patients’ needs, especially with patients having more choices for healthcare …

How Industry-Specific EMRs are Fueling Urgent Care Success

• Electronic Medical Records (EMR) played a big role in advancing the initial shift from paper to electronic processes in healthcare, as they …

Achieving ROI From EHRs: Actionable Insights That can Transform Care Delivery

• US health systems invested more than $10 billion in electronic health record (EHR) systems between 2008 and 2013, and were projected to spend another $10 billion to $15 billion by …

Improving Hospital Profitability and Maximizing Patient Care With Pharmacy …

• The ultimate and most stated goal of most hospitals is to provide exceptional patient care. However, making a profit and having a consistent revenue cycle is necessary to achieve …

2021 Patient Experience Trends Fueling Profitable Medical Practices

• Superb patient experience is integral to your medical practice success. But how can you stay up to date with all the medical industry trends?

Patient-Generated Clinical Notes, OpenNotes Yield Patient Satisfaction

• More than 90 percent of the healthcare provider participants said having completed OurNotes forms before appointments was a good idea, and 70 percent said they usually or always …

How Clinician-Developer Collaboration is Changing User Experience

• To provide excellent patient care, clinicians must make a myriad of decisions many of them complex. With this understanding, engineers and designers collaborate closely with …

Lessons for Adding or Building New Health Plans That Can Successfully Compete …

• Take Medicare Advantage. In response to the fast growth in the Medicare-eligible population and strong interest in Medicare Advantage, both new and established insurers have seized …

Leveraging Real-Time Clinical Communication to Improve Healthcare Outcomes

• Development of the real-time health system is a multifaceted, overarching objective, and it is driving many of the decisions and investments healthcare organizations make. Clinical …

The Missing Link: The Importance of Patient-Reported Outcomes on Effective …

• Rather than relying on a third-party view from a doctor or nurse, patient-reported outcomes provide a real-world assessment of healthcare’s effectiveness from those experiencing it …

How Providers Can Take Advantage of the Healthcare Analytics Boom

• The global healthcare analytics market is set to balloon to a value of $129.7 billion by 2028. It doesn’t take much digging to figure out why. Data analytics tools used in …

The Time to Strengthen the Foundations for Hybrid Care Success Is Now

• Healthcare systems across the U.S. relied on telehealth to support the continuum of care for patients during the COVID-19 pandemic, especially before the availability of …

Seven Predictions for Healthcare Technology Trends in 2022

• In the wake of a pandemic, shifting care delivery models, and a surge of clinical content, Wolters Kluwer healthcare experts have identified seven healthcare technology trends for …

Establishing Digitally Enabled Healthcare – The Need to Move From High Touch to …

• After a year that’s shaken the world, the lessons we’ve learned during the coronavirus pandemic will continue to affect our lives for months and years to come. In healthcare, one …

Improve Your Revenue Cycle Analytics to Boost Your Pandemic Financial Recovery

• The latest MGMA Stat poll asked medical practices what they use for revenue cycle analytics. More than half (52%) reported they use …

CHIME21: How Interoperability Increases Efficiency and Transparency in …

• Interoperability is of growing importance in healthcare as more patient data is collected and as new rules and regulations require increased transparency and ease of access to this …

Data Infrastructure Bolsters Providence’s Value-Based Care Arrangements

• Renton, Wash.-based Providence health system participates in 140 value-based care agreements. During a panel session at the Value-Based Health Care Congress this week, Deepak …

Five Ways to Get More Impact From Your Healthcare Technology

• Hospitals and healthcare systems invest a significant amount of capital each year in various forms of technology. Supply chain spending is currently the second-largest cost for …

Treating Patients Like Consumers With Asynchronous Technology

• Between the pandemic and dramatic growth in direct-to-consumer healthcare approaches, hospitals and health systems have been forced to find ways to provide convenient care for …

How to Unleash the True Value of Your Remote Reps Through Effective Workforce …

• A data-driven management approach to revenue cycle that empowers your staff could effect sweeping change for improved long-term financial health. Healthcare providers’ ongoing …

Q&A: Payment Changes Key to Sustaining Telehealth Gains, Prisma Health Chief …

• The coronavirus pandemic has forced U.S. healthcare providers to dramatically increase their use of digital tools, but doing so requires more than just flipping a switch. …

The Role Blockchain Could Play in Strengthening Patient-Provider Relationships

• With conversations about NFTs and blockchain prominent in the news today, the future of such technology is a hot topic. The integration of blockchain technology into a variety of …

HLTH 2021: Reimbursement Flexibility Is Key to Digital Health Innovation

• Regulation rollbacks increased virtual care adoption during the pandemic, and more reimbursement freedom could take digital transformation even further. With the pandemic came a …

Chronic Care Codes Offer Greater Flexibility and Payment in 2020

• When the Centers for Medicare and Medicaid Services (CMS) introduced chronic care management (CCM) services and the associated codes in 2015, the reaction was, to put it mildly, …

Overcoming Talent Shortage in the Healthcare Revenue Cycle

• A Kaufman Hall research study indicates that 2021 hospital revenue would likely be down between $53B and $122B due to the lingering effects of COVID-19. The potential impact of …

Virtual Healthcare Is the Future - If Organizations Can Clear These Hurdles

• Covid-19 forced healthcare organizations to make a huge leap forward in their digital transformation roadmaps. Although many companies had plans on the books to advance …

From the CereCore CIO Cohort: 4 Takeaways on IT Optimization

• Hospital and health system peers from across the nation gathered for the quarterly CereCore CIO Cohort discussion led by Peyman Zand, Vice President of Advisory Services at …

Healthcare at the Crossroads: Value-Based Care and Interoperability

• Amid the difficulties of the last year, a bright spot has emerged that may provide a strong indication of renewed movement toward the transformation of …

Strategies From a Healthcare Expert That Can Aid in Optimizing and Maximizing …

• Telehealth is far more than a technology that allows patients to be monitored virtually within a hospital by a specialist or at home by a provider. Although these are key …

Ease and Access: Why the Patient Scheduling Experience Needs an Upgrade

• Healthcare systems need to assess their scheduling options to prevent long wait times and poor patient experiences, as this can affect their ability to attract new patients and …

Enhancing the Digital Patient Experience

• There's nothing better than learning about enhancing the digital patient experience than to hear from people who have been on the front lines doing it.  As part of the …

Involving Clinicians & Understanding Patient Demand Are Key to Implementing …

• More patients prefer to recover and receive care at home than at a medical facility. COVID-19 accelerated the demand as visits to facilities were restricted. Implementing …

Reducing Health Care Costs: You Can’t Improve What You Don’t Measure

• Gordon: I would like to talk a little bit about health care costs, and before that, though, could you give me a thumbnail sketch of what is the Milbank Memorial Fund?Chris: Sure. …

Mergers Associated With Improved Quality, Lower Mortality for Rural Hospitals

• Rural hospitals are increasingly merging with other hospitals, and this trend is associated with better mortality outcomes for certain conditions, according to a new study in JAMA …

Managing Health Care Costs and Chronic Disease With Value-Based Care

• The cost of chronic disease continues to rise, and employers feel that strain. Value-based approaches to care delivery can improve the health of your employees — and those with …

7 Ways to Improve Patient Outcomes in the New World of Value-Based Care

• Hospitals around the world are under increasing pressure to improve outcomes – whether because they are operating in a fee-for-performance or value-based care environment, or …

Medicare Proposes New Codes and More Money for Care Management Services in 2022 …

• Providers presently furnishing ambulatory care management services (including chronic care management and remote monitoring) for Medicare beneficiaries as well as those considering …

HIMSSCast: The Future of Telehealth Reimbursement

• Limitations and uncertainty around telehealth reimbursement have always been an impediment to adoption. During the COVID-19 emergency, that burden was eased somewhat, but now the …

Chronic Care Management 101: How Providers Can Make a Remarkable Difference

• The provider community strives day and night to improve patient outcomes and contribute to the dream of value-based healthcare. However, the complexity of chronic diseases renders …

Supercharging the ROI of Your Care Management Programs

• Using advanced analytics and digital capabilities to improve the design and implementation of care management programs can promote better patient outcomes and an improved return on …

The Transformation of Data-Driven Healthcare

• As the revolution of the data-driven industry rises, here’s how the healthcare sector is wrapping itself in a data-driven transformation. As an emerging platform, eHealth & …

Healthcare IT Procurement and Supply Chain

• Before COVID-19, I think that many of us took for granted the supply chain and the ability to procure just about anything we wanted pretty easily.  Then, the pandemic hit and …

Why the Revenue Cycle Is Vital to Exceeding Patient Expectations and Driving …

• For physician practices seeking ways to rebuild volume with current patients and consumers shopping for care, understanding the ongoing impact of financial worries is critical to …

Using Digital Currencies to Revolutionize Healthcare

• Introducing a digital currency could help tackle some of the greatest challenges facing the global healthcare system today. From consultation to payment of services and …

How an Effective Revenue Cycle Management Strategy Can Help Reduce Burnout

• Optimizing the revenue cycle can help reduce much of the stress that contributes to burnout. Before COVID-19 struck, many healthcare providers were already nearing a breaking point …

How to Handle Patient Collections

• Collecting from patients is not an easy job, but there are ways to handle it in an efficient and compassionate manner. We talk to experts on how to prevent payment delinquencies …

How to Keep Getting Paid for Telehealth in 2021

• The flourishing of telehealth in 2020 was driven not just by necessity, but also by a significant loosening of governmental regulations and of reimbursement requirements by payers. …

Optimizing Patient Payments in the Covid-19 Era: 3 Key Questions Providers Must …

• Providers can reap the rewards of a digital transformation that boosts efficiency and profitability, but they must first invest in the right technology. The COVID-19 pandemic …

Bolstering Chronic Care Management With Behavioral Health Integration (BHI)

• This webinar highlights how practices can use BHI to help manage, treat and address acute and chronic conditions.Physician experts share how they have used behavioral health …

How Healthcare Organizations Can Make Telehealth Ready for the Future

• The pandemic prompted a meteoric rise in telehealth utilization, with FAIR Health’s Monthly Telehealth Regional Tracker reporting an increase of nearly 3,000% from November 2019 to …

Medicare Coverage and Payment of Virtual Services

• This video will provide you with answers to common questions about the expanded Medicare telehealth services benefit under the 1135 waiver authority and Coronavirus Preparedness …

2021 Healthcare Financial Trends

• The coronavirus cast a long shadow over 2020 and triggered fundamental shifts that will reverberate throughout 2021. Analysis of research and practice experience has produced …

Transformation Through Value-Based Healthcare Models

• Healthcare is facing a contradiction: rising healthcare costs that do not necessarily lead to a higher quality of healthcare. How can we address these conflicting actualities of …

How the Virtual Care Industry Will Evolve in 2021

• With the distribution of highly effective COVID vaccines now (shakily) underway, we can be cautiously optimistic that a greater semblance of normalcy will return in the second half …

Most Consumers Want to Keep Telehealth After the COVID-19 Pandemic

• Before the COVID-19 pandemic, telehealth was more of a novelty than a necessity. The concept of touching base with a doctor remotely was promising, but there were hurdles.Numbers …

Specialty Telehealth Business Dynamics

• In this episode, we talk about all the business dynamics for a hospital or health system that might be looking at whether they should have a specialists in-house and when they …

How Pop Health EHR Modules Led to Better Care and an 'Exponential Increase in …

• While staff members had bits and pieces of population health data, like hierarchical condition category (HCC) scores and specific diagnoses, they were missing the top-level view of …

Connecting Positive Patient Experiences to a Physician Practice’s 2021 Financial …

• The patient experience is a critical factor in the success of any healthcare practice – and its importance is increasing with the rise of healthcare consumerism. Individuals today …

How to Use Automation in Healthcare Marketing

• Automation in healthcare marketing comprises technology-powered communication strategies that enable providers to have personalized engagement with patients based on predetermined …

Why Every Medical Practice Should Prioritize Billing and Coding Oversight

• The reality of mitigating risk as a solo practitioner or running a small practice often means spending less time with patients and more time completing practice management tasks, …

More Than a Vendor: What Hospitals Should Consider When Forming New EHR …

• Modern technology is continuing to advance at a rapid rate, and healthcare and EHRs are moving right along with it. But with rapid advancements come multiple options, which leaves …

4 Ways Healthcare Organizations Can Establish Partnerships to Drive Innovation

• With public and private healthcare spending significantly outpacing that of other countries, U.S. hospitals face intense pressure to find new ways to capture greater value. More …

4 Ways to Keep Ahead of Denials Amid the Pandemic

• Understanding all that’s required to secure healthcare payment during a pandemic — especially for services related to COVID-19 — demanded that revenue cycle teams quickly refine …

Automating Patient Financial Clearance Cuts Denials, Boosts Payments

• Patient financial clearance is meant to provide a seamless patient experience while ensuring a smooth revenue cycle for providers. But more often than not, the process can be drawn …

3 Things Practices Must Do to Assure They Get Paid for Telehealth in 2021

• However, the flourishing of telehealth in 2020 was driven not just by necessity, but also by a significant loosening of governmental regulations and reimbursement requirements by …

Strengthening the Financial Foundation of FQHCs in Wake of Pandemic

• Federally Qualified Health Centers (FQHCs) have been the safety net for individuals in need for decades. These community-based healthcare centers provide a comprehensive set of …

Sustaining the Success of Telehealth - Patient Safety & Quality Healthcare

• Telehealth is not a new concept—the industry has been considering it for many years. But a global pandemic has put telehealth at the forefront of patient care, and the industry is …

Telehealth ROI: Operationalizing the New Normal

• Besides the lifesaving contribution of telemedicine, there is a practical, financial benefit as well. Hospital providers are under constant budget pressures these …

Patient Self-Service Drives Revenue Growth at Inspira Health

• Healthcare has a patient financial responsibility problem. The burden of high deductibles, out-of-pocket costs, and other medical expenses has increased exponentially over the last …

Why PCPs Should Focus on Coding and Documentation in Value-Based Care Programs

• Each year, a growing number of providers are entering value-based care arrangements, including primary care providers (PCPs). Given their holistic view of patients, PCPs are the …

How to Improve Your Practice’s Online Presence Post-Pandemic

• A challenging year dealing with the COVID-19 pandemic brought about dramatic changes to the healthcare industry and the way physicians operate their practices.A challenging year …

8 Key Areas Representing $13.3B in Cost Saving Opportunities for Healthcare …

• Portals are now playing a key role in many insurance-related transactions, but many processes are only partially electronic and they are often not integrated with other hospital …

Revenue Cycle Management: What Physicians and Administrators Need to Know

• Revenue cycle management (RCM) is an increasingly important part of healthcare IT that focuses on processes that collect revenue from patient care, especially but not exclusively …

Conquer Practice Prior Authorizations and RCM With AI + Human Intelligence

• In healthcare practices today, there are opportunities to improve the entire billing lifecycle through the use of Artificial Intelligence (AI) driven software that reduces the …

Lifting the Hood for More Opportunities for Data Compliance and Cost Savings

• The healthcare industry knows all about the need for digital transformation. But that doesn’t mean that any of the other aspects of running a healthcare business have gone away. …

The Future of Revenue Integrity: From Reactive to Predictive - RCM

• Healthcare organizations have witnessed an explosion of new opportunities to extract value from the industry’s treasure trove of data in recent years, with success stories related …

Why Patient Access Is Key to Revenue Cycle Management Success

• Patient access is generally the first encounter a patient will have with a healthcare organization, making it central to the patient experience. But this aspect of healthcare is …

6 Big Ideas in Healthcare Marketing

• Healthcare has the same consumers as hospitality, retail, big tech, entertainment, travel, and other industries, and yet the industry does not typically provide a comparable …

Revenue Cycle’s New Priority: Helping Consumers Understand Their Coverage

• During COVID-19, efforts by healthcare revenue cycle teams to help individuals navigate their coverage and their out-of-pocket costs will be key to consumer engagement. The …

Three Ways to Leverage Predictive Analytics in Healthcare Marketing

• Healthcare consumers have the world at their fingertips as they make medical decisions. They do their research, educate themselves and take charge of their decision-making in ways …

Physicians Can Make Most of Telehealth—Even After COVID’s Gone

• A couple of years ago, just about every physician in the U.S. knew that telehealth would one day be a cornerstone of their practice, but few could have foreseen that it would so …

Why Humanizing Technology Maximizes Patient Engagement and Increases Financial …

• IT is about enabling technology systems, and digital is about making the experience of using those technologies more human and meaningful to each end-user. For example, many …

On the Road to Price Transparency with APCDs

• APCDs are large-scale databases with continuously aggregated information on medical, dental, and pharmacy claims as well as eligibility and provider files across all care settings, …

Technology as a Compliant and Cost-Effective Solution

• Healthcare organizations continually strive to improve clinical outcomes and patient satisfaction, all while trying to contain and reduce costs. These efforts, along with over a …

Telemedicine Can Lead to More Profitable Practices Post-Pandemic

• Today's healthcare providers need modern, impactful ways to maximize patient engagement, improve outcomes and enable more timely, efficient connections between patients and …

Why Better-Engaged Patients Are Better-Paying Patients

• For many practices, patient engagement is that competitive edge. Engaging patients requires clinicians and staff to first take time and effort to understand patient needs and then …

Four Ways to Optimize Your Revenue Cycle in 2021

• With 2021 in full swing, healthcare providers must continue to manage workflow efficiency, budgeting, and the ongoing financial instability brought on by the COVID-19 pandemic. At …

How Providence Prepared to Address COVID-19 Care Gaps

• Many healthcare organizations, Providence included, leaned on telehealth to help promote chronic disease management and deployed patient outreach campaigns to get patients safely …

Patient Engagement Is the Key to Improving Provider Collections

• Patient collections have long been among the most significant operational and financial headaches for medical providers – resulting in lost time and money.Patient engagement …

Navigating COVID’s Financial Roller Coaster: One Health System CFO Describes the …

• From an economic standpoint alone, while some health systems are finally starting to feel a small sense of relief, the path to financial recovery is still a long and daunting …

3 Ways for Hospitals to See the Highest Return on Virtual Care Investments

• As healthcare organizations work to implement new technologies, CNOs should be heavily involved in the development of change management plans, and those plans should align with the …

Value-Based Incentives Improve Clinical Connectivity

• As we begin to return to pre-pandemic patient volumes and rebuild our businesses, we are increasingly seeing employers adapting to a post-pandemic world by looking for new, …

Five Ways to Maximize Your Referral Program

• Referrals are lifeblood to healthcare practices. A good physician referral program not only expands your practice’s reputation and your physician network, but it also accelerates …

Virtual Optimism: Keep Remote Patient Monitoring and Telemedicine in Your …

• Over the past year, the relentless COVID-19 pandemic forced a major shift in the way healthcare is managed and delivered. Now, even as restrictions lift and in-person visits …

Why Improving Chronic Disease Management Is the Key to Reducing Excessive …

• Chronic disease can be regarded as a major and persistent epidemic of our time. Today, roughly 40 million people in the United States are restricted in their day-to-day …

Revenue Cycle Management: Benefits and Best Practices

• Revenue cycle management is most commonly seen in the healthcare industry specifically because of the extreme and increasing complexity of healthcare billing and …

How Value-Based Care Can Achieve Seamless Coordination and Communication

• As value-based care models continue to take center stage in the healthcare landscape, it is critical to manage referrals and ensuring that patients get the care they need in a …

Post Pandemic: How Will the Healthcare Economy Respond?

• Even as it appears the combination of distancing, treatment and vaccines is helping to return society at large to a more normal footing, questions associated with quality, cost, …

A Roadmap for Value-Based Payment in 2030

• Simplifying the current value-based payment landscape and accelerating the movement from upside-only shared savings to risk-bearing, population-based alternative payment models …

Patient Financial Services in a Post COVID-19 World

• The Coronavirus (COVID-19) has created new challenges for the healthcare industry revenue cycle leaders both personally and professionally. As we become more unified as a …

New Revenue Cycle Management—And Its Challenges and Opportunities