NASHVILLE - Enhancing the healthcare consumer experience is the task currently in front of healthcare payers and providers, according to David M. Cordani, president and CEO of Cigna...
There is strength in numbers – at least when it comes to the hospital supply chain after a merger.
Hospitals and health systems are increasingly engaging in merger deals with like-sized...
Prior authorizations used to be one of the greatest pain points for providers at Advocate Aurora Health.
While most physicians recently surveyed by the American Medical Association (AMA) said they...
Since Jill Barton can remember Montefiore St. Luke’s Cornwall Hospital in New York has experienced financial challenges. But the non-profit hospital’s troubles were recently getting worse...
Patient collections is a significant undertaking at Allina Health, a 12-hospital system with over 90 clinics, 52 rehabilitation facilities, and dozens of other care sites across Minnesota and western...
Risheet Patel, MD, was growing frustrated with how his practice had to deliver care and operate under a local hospital network entrenched in fee-for-service until he implemented direct primary...
Providers and owners of independent practices often view value-based care as a trojan horse.
Value-based care promises to improve care quality and lower costs compared to fee-for-service, but...
Situated in the countryside of south central Wisconsin between Janesville and Madison, the City of Edgerton is home to about 5,500 individuals who rely on an 18-bed critical access hospital for many of...
Physician consolidation, value-based care, and other market pressures are sounding the death knell for many small and independent practices.
Less than a third of physicians owned an independent...
In 2019, CMS mandated all hospitals in the US to publish a list of their standard charges online. The federal agency intends for healthcare price transparency to empower patients to make more...
A growing network of post-acute care hospitals based in Pennsylvania recently achieved a near perfect clean claims rate and uncovered $12 million in inappropriate payer denials after switching its...
Robots in healthcare do not have to be large human-like machines that replace providers. But bots embedded in software applications can be a key tool for reducing the burden of mundane, common tasks,...
“You can't emphasize enough the right setting and the right care,” stressed Peggy Chou, MD, the Senior Medical Director of Performance Excellence of Atrius Health in...
Drug shortages are preventing hospitals from providing even the most basic care to patients.
In a recent study by the National Opinion Research Center (NORC) at the University of Chicago,...
“The patient access area is where everything starts, and that mindset is what led to our success.”
That was the sentiment of Deonne Henry, the Vice President of Revenue Cycle at Magnolia...
We are quickly heading to the value-based purchasing tipping point, according to the Vice President of Network Management at Health Partners Plans in Pennsylvania.
“While adoption rates are...
From value-based care to record-high levels of patient financial responsibility, the healthcare industry is undergoing a tremendous amount of evolution. And the healthcare revenue cycle is having to...
Supporting primary care will bring value-based care results, asserts Humana’s Chief Medical Officer Roy Beveridge, MD.
Value-based arrangements between providers and payers have the lofty, yet...
Improving a patient’s financial experience is key to healthcare revenue cycle management success, according to the Senior Regional Director of Revenue Cycle at Ascension...
Don’t equate value in the healthcare supply chain with just price, Premier, Inc’s Myla Maloney recently advised healthcare stakeholders at Xtelligent Healthcare Media’s Value-Based...