CMS Timelines for Stage 3 Meaningful Use, MACRA Implementation
RevCycleIntelligence For Medicare providers, CMS has set the pace for quality improvements and healthcare payment reform through Stage 3 Meaningful Use and the Quality Payment Program (under MACRA implementation). The programs are designed to put providers on track to achieve healthcare reform and innovation by applying payment incentives or penalties associated with program participation. Providers should...
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Preparing the Healthcare Revenue Cycle for Value-Based Care
Not only do value-based care models aim to make healthcare providers more accountable for the services they provide to patients, but they are also designed to shift financial accountability away from payers to healthcare organizations....
Using Revenue Cycle Analytics for Effective Value-Based Care
The hospital industry has been experiencing a number of challenges in recent years due to the payment reforms coming from the Centers for Medicare & Medicaid Services (CMS) and commercial health payers. There has been a much greater...
What We Know About Value-Based Care Under MACRA, MIPS, APMs
The Medicare Access and CHIP Reauthorization Act of 2015 has many parts tied to Medicare and other federal health plan beneficiaries, but first and foremost it is a bill that brings an end to the sustainable growth rate and a beginning to...
Key Ways to Improve Claims Management and Reimbursement in the Healthcare Revenue Cycle
Reimbursement is changing in healthcare. Even before elements of the Affordable Care Act began to go into effect, a growing focus on value- based care versus volume has led many healthcare organizations and providers to consider...
Why Healthcare Needs Value-Based Supply Chain Management
Healthcare supply chain — the holistic flow of relationships between suppliers and customers — is about efficiently delivering low cost care as goods and supplies, such as a pair of doctor’s gloves, move from point of...
Exploring 5 Types of Intellectual Property Protections in Pharma
PharmaNewsIntelligence The Journal of Advanced Pharmaceutical Technology & Research defines intellectual property as “any original creation of the human intellect such as artistic, literary, technical, or scientific creation.” Intellectual...
Exploring digital stethoscope technology for improved diagnostics
LifeSciencesIntelligence By combining advanced digital capabilities with traditional auscultation techniques, advanced digital stethoscope technology has transformed how healthcare professionals detect and monitor cardiopulmonary diseases. In an...
What the House subcommittee hearing tells us about telehealth’s future
mHealthIntelligence Jeanette Ashlock was only 30, fresh off her honeymoon, when she first started experiencing multiple sclerosis (MS) symptoms. “My muscles and body started locking up,” the National Multiple Sclerosis Society patient advocate told...
How Health First navigated incident response for Change Healthcare cyberattack
HealthITSecurity Few US healthcare organizations were left unscathed when Change Healthcare fell victim to a cyberattack in late February. After all, Change Healthcare, which is part of Optum and owned by UnitedHealth Group (UHG), processes 15 billion...
PHE unwinding work may aid Medicaid, CHIP final rule compliance
HealthPayerIntelligence The eligibility and enrollment processes for Medicaid and the Children’s Health Insurance Program (CHIP) have been riddled with inefficiencies. Policies like annual coverage limits and waiting periods have created barriers for...
How patient experience data prompted patient engagement improvements
PatientEngagementHIT Ensuring an optimal patient experience might be a personal and professional passion for Shanna McCann, a senior experience coach at Children’s Minnesota Pediatric Hospital, but she knows making those improvements relies on cold, hard...
Understanding the environmental impact of the pharmaceutical industry
PharmaNewsIntelligence The pharmaceutical industry is crucial in improving global health by developing and manufacturing life-saving medications. However, it also has a significant environmental impact that cannot be ignored. The Pharmaceutical...
Common remote patient monitoring tools
mHealthIntelligence Remote patient monitoring (RPM) is a valuable healthcare delivery mechanism. RPM allows healthcare providers to continuously track patient health metrics over time, giving them a comprehensive view of the patient’s condition and how...
How are Medicare plans lowering drug costs for beneficiaries?
HealthPayerIntelligence Affordable access to prescription drugs is a necessity for managing chronic and acute conditions and staying healthy. However, as drug costs rise, both affordability and accessibility are dwindling. Over 80 percent of surveyed adults said...
Exploring RNA-based therapeutics beyond mRNA vaccines
LifeSciencesIntelligence RNA therapeutics have emerged as a critical tool for the healthcare industry. In recent years, mRNA vaccines have been one of the most notable RNA therapeutics, which played a crucial role in curbing the effects of the COVID-19 pandemic....
Strategies for engaging, managing KOLs in the pharma industry
PharmaNewsIntelligence Key opinion leaders (KOLs) are healthcare providers (HCPs) and industry leaders who play a critical role in the healthcare industry, acting as vital stakeholders for the sector, including life sciences and pharmaceutical companies....
Assessing the impacts of noncontinuous digital diabetes solutions
LifeSciencesIntelligence In a recent health technology assessment conducted by the Peterson Health Technology Institute (PHTI), the clinical and economic impact of noncontinuous digital diabetes management solutions for adults with type 2 diabetes (T2D) has been...
Artificial intelligence in healthcare: defining the most common terms
HealthITAnalytics As healthcare organizations collect more and more digital health data, transforming that information to generate actionable insights has become crucial. Artificial intelligence (AI) has the potential to significantly bolster these efforts,...
Why Ochsner & Humana struck an RPM partnership for chronic care
mHealthIntelligence Remote patient monitoring (RPM) tools and services have proven remarkably effective at improving chronic disease management. However, access to RPM programs can be challenging, particularly for underserved populations. One strategy to break...
