Physicians want three things, according to Anthony Valdés, President of Collaborative Health Systems, and those are to deliver great clinical outcomes, get paid fairly for that care, and stay independent. But achieving...
In the Hudson Valley is Montefiore St. Luke’s Cornwall Hospital. The non-profit, safety-net hospital serves more than 270,000 patients residing in the area and hospital leaders have made this community part of its mission. Being...
The COVID-19 pandemic has permanently changed the healthcare business model, causing providers to rely more on scale and efficiency to maintain financial stability in 2021 and beyond. At least those are the strategies industry leaders at...
Beth Kushner, DO, always starts lectures with residents at St. Joseph’s Health with a simple philosophy. “You should get paid for everything you do, nothing you didn't do, and make sure that you can provide high-quality care...
As people sweep up the confetti and put long-stemmed glasses back in the cabinet after New Year’s Eve, many emergency department providers are coming home after a busy night. The hours between the end of one year and the start of...
Healthcare data sharing is central to a successful value-based care strategy, according to Jamie Reedy, MD, MPH, chief of population health for Summit CityMD. “If the physicians and care teams don’t know their quality...
The definition of value is evolving, and so are the capabilities needed to support the transition to value-based care, industry experts recently shared at Xtelligent Healthcare Media’s Payer+Provider Virtual Summit: The Return to...
No one could have predicted the impact COVID-19 would have on 2020, least of all healthcare executives who approved budgets and spending targets months or even a year prior to the outbreak of the novel coronavirus. Reduced volumes, new...
Revenue cycle automation has become a necessity for healthcare providers looking to provide high-quality, affordable care. But for many organizations, automation in the revenue cycle is still an aspiration. Revenue cycle management is ripe...
According to the American Hospital Association (AHA), an appeals court has declined to reconsider two decisions from the summer, which upheld Medicare reimbursement cuts for 340B drugs and for off-campus hospital outpatient clinic visits....
Giving patients the option to pay medical bills how they want to has become increasingly key to optimizing patient collections. Patients already owe more out of pocket for their healthcare than ever before, and that burden is only...
Alternative payment models that use population-based payments to incent providers to deliver coordinated, high quality, person-centered care are key to building healthcare system resiliency after a crisis like COVID-19, according to the...
The business of healthcare is no game, but a new gamified approach is making revenue cycle management more fun and more efficient at Sharp HealthCare. The San Diego-based health system recently teamed up with athenahealth to design and...
The pace of healthcare merger and acquisition activity continues to be unhindered by the COVID-19 pandemic, according to the latest M&A Quarterly Activity Report from Kaufman Hall. The report highlighting healthcare merger and...
After experiencing a significant dip in patient volumes during the COVID-19 pandemic, Family Practice Associates of Lexington PSC is now busier than ever. “Visits probably dropped off 50, maybe 60, percent during the month of April,...
More and more healthcare providers and payers are teaming up with ride-sharing companies, food pantries, and other community-based organizations to address one of the largest drivers of patient outcomes – social determinants of...
The Federal Trade Commission’s (FTC’s) Bureau of Economics recently unveiled a revamped Merger Retrospective Program that will expand and formalize the Bureau’s retrospective research efforts, including those focused on...
COVID-19 seems like the final nail in the coffin for independent practices. Devastating financial losses from the start of the pandemic, stagnating patient volumes, and a new appetite for virtual care is making it more difficult for...
CMS is making major changes to Bundled Payments for Care Improvement (BPCI) Advanced next year to stop the model from generating financial losses of close to $2 billion over the model’s ten performance periods. For Model Year 4, which...
According to a new survey, large hospitals and health systems plan to permanently move more revenue cycle management operations out of the office and into employee homes. The survey of 587 chief financial officers and revenue cycle leaders...