Healthcare Revenue Cycle Management, ICD-10, Claims Reimbursement, Medicare, Medicaid

Value Based Care Resources

Delivering Value through Episodes of Care

The shift to value-based care (VBC) is well underway, and Episodes of Care (EOC) are an integral part of payers’ transition from volume-to-value. That’s a core finding of a 2018 bi-annual survey conducted by ORC International an... Download white paper

eBook: Population Health: Your Guide to Proactive Patient Care

Chronic disease is the most significant driver of healthcare costs in the nation, representing an estimated 86% of our annual spend. The burden of a higher share of expenses on patients, as well as the reactions of private and public payers... Download white paper

Case Study: Greenway Community Equips Practices to Manage Population Health

Administrators at North Ottawa Community Health system in Grand Haven, Michigan, understood they could boost financial performance by focusing on the segment of the patient population most in need of care. They implemented Greenway Communit... Download white paper

Preparing the Healthcare Revenue Cycle for 2019

Healthcare is constantly evolving. New payment models are shifting the focus away from traditional fee-for-service, while innovative technologies are automating everything from patient registration to claims management and medical billing. ... View webcast

The Value-Based Return on Creating a High-Quality Data Pipeline

Payer and provider success with value-based care depends on accurate data, analytics, and reporting to deliver the right information at the right time to the right recipient.  However, the lack of standardization across payers is furth... View webcast

Enable High Quality Oncology Care by Aligning the Needs of Health Plans, Providers, and Patients Before Treatment Begins

Did you know that approximately 30% of your health plan members diagnosed with cancer receive care inconsistent with evidence-based guidelines? Take a look at the most comprehensive oncology clinical library available. It easily enables ide... Download white paper

The Makings of an Oncology, Personalized, Evidence-Based Medicine Library and Clinical Trials Database

Have you ever wondered what sources companies use to present treatment options in their platforms? How comprehensive is the data? Will the data allow your network physicians to make informed treatment decisions enabling the most appropriate... Download white paper

FAQs: Choosing an Oncology Treatment Preauthorization Vendor

When searching for a partner to improve your cancer program, it is easy to become overwhelmed with the options. In these Frequently Asked Questions, we respond to payers’ most pressing questions about an online, evidence-based, oncolo... Download white paper

How Health Plans Can Exceed Industry Standards in Member Cancer Care

Improving member care has numerous benefits to both the member and the health plan; and technology-driven solutions can simplify compliance with evidence-based standards. See how one health plan tackled streamlining treatment approval, perm... Download white paper

Joint 3M/ACDIS Research Study: Advancing CDI Worklist Prioritization

As healthcare organizations move toward value-based care and seek to improve performance and overall financial health, clinical documentation improvement (CDI) programs are under intense pressure to ensure documentation supports medical nec... Download white paper

The Role of HCCs in a Value-Based Payment System

Hierarchical condition categories are such an important factor in the value-based care world. Effectively managing them makes a huge difference in reimbursement and helps providers successfully achieve high-quality care. Over and under repo... Download white paper

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