Healthcare Revenue Cycle Management, ICD-10, Claims Reimbursement, Medicare, Medicaid
  • Addressing Quadruple Aim, Physician Burnout Key to Risk Success

    November 16, 2017 - From capturing patient risk to meeting quality measures, providers face a daunting list of items needed to achieve the Triple Aim of value-based care. But healthcare organizations will not see lasting cost savings and care quality improvements until leaders address physician burnout and move to the Quadruple Aim, Reliant Medical Group’s President and CEO explained at the second annual...

  • Automating Healthcare Contract Management Improves Business Ops

    November 15, 2017 - Improving care access at hospitals is key to ensuring the health of pregnant women and their babies. But the business operations behind improving care access, such as employee and vendor contract management, must be as efficient as possible to support physicians and their care teams on the clinical side. This was the case at OB Hospitalist Group (OBHG) in South Carolina. The organization operates...

  • The Pros and Cons of Quality Measure Choices In MACRA, MIPS

    November 9, 2017 - Uprooting the fee-for-service payment system and changing the way clinicians provide care is no easy feat. With this in mind, CMS designed MACRA’s Merit-Based Incentive Payment System (MIPS) to gradually ramp up participation and offer eligible clinicians several quality reporting flexibilities. Part of this MACRA implementation strategy is the “Pick Your Own Pace” participation...

  • Importance of Post-Acute Alignment, Integration to Value-Based Care

    November 2, 2017 - To achieve the ultimate goals of value-based care, healthcare organizations will need to assume greater responsibility over the patient’s experience across multiple care settings based on the appropriate level of acuity.   While the process to move away from the fragmentation associated with episodic, fee-for-service care will take some time, it is now requiring the attention of...


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Addressing Quadruple Aim, Physician Burnout Key to Risk Success

From capturing patient risk to meeting quality measures, providers face a daunting list of items needed to achieve the Triple Aim of value-based care. But healthcare organizations will not see lasting cost savings and care quality improvements...

KLAS: Quadax, SSI Group Earn Top Scores for Claims Management

Respondents in a recent KLAS report named Quadax, SSI Group, and ZirMed as the best overall performing claims management vendors because of the high-quality customer service and support provided by the companies. The 296 healthcare organizations...

Consumers Use Healthcare Price Info for Budgeting, Not Shopping

Most consumers want healthcare price information to plan how they will pay for patient financial responsibility, not to shop around for lower cost providers, a recent survey revealed. The survey from Accenture showed that just 11 percent of the...

Automating Healthcare Contract Management Improves Business Ops

Improving care access at hospitals is key to ensuring the health of pregnant women and their babies. But the business operations behind improving care access, such as employee and vendor contract management, must be as efficient as possible to...

Pres Trump Taps Former Pharma Exec Alex Azar as Next HHS Secretary

President Trump recently nominated Alex M. Azar II as the next HHS Secretary, according to multiple news sources. Azar was the former president of Eli Lilly’s American division and a health official in the George W. Bush Administration....

Post-Acute Care Orgs Lack IT, Data Analytics for Value-Based Care

Value-based care hinges on data analytics and provider communication across the care continuum. However, post-acute care providers do not have the health IT infrastructure or communication workflows in place to support value-based reimbursement...

Providers Who Accept Pharma Gifts Prescribe More Expensive Drugs

Providers in the DC area who received gifts from the pharmaceutical industry tended to prescribe more drugs per patient, including more expensive, branded medications, than their peers who did not accept gifts, a recent PLoS One study showed....

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