Interviews

Cigna CEO: Healthcare Consumer Experience Key to Transformation

by Jacqueline LaPointe

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...

How Bon Secours Mercy Health Optimized Supply Chain Post-Merger

by Jacqueline LaPointe

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...

How Advocate Aurora Health Streamlined Prior Authorizations

by Jacqueline LaPointe

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...

Pre-Access Center Collects More Patient Financial Responsibility

by Jacqueline LaPointe

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...

Machine Learning Improves Patient Collections at Allina Health

by Jacqueline LaPointe

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...

IN Practice Gains Independence with Direct Primary Care Model

by Jacqueline LaPointe

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...

What Independent Practices Need to Thrive Under Value-Based Care

by Jacqueline LaPointe

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...

Telepharmacists Keep a Small Hospital Pharmacy Running After Hours

by Jacqueline LaPointe

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...

NY Group Rethinks Physician Consolidation to Add Long-Term Value

by Jacqueline LaPointe

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...

How Practices Can Benefit from Healthcare Price Transparency

by Jacqueline LaPointe

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...

Rethinking the Claims Clearinghouse Relationship Helps Hospitals

by Jacqueline LaPointe

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...

Bots Make Claim Status Inquiry More Efficient for Avera Health

by Jacqueline LaPointe

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,...

Post-Acute, At-Home Care Saves Next Gen ACO Atrius Health $19.9M

by Jacqueline LaPointe

“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...

Major Health Systems Create New Company to Tackle Drug Shortages

by Jacqueline LaPointe

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,...

Small Hospital Boosts Bottom Line Through Patient Access Automation

by Jacqueline LaPointe

“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...

Social Determinants of Health Key to Value-Based Purchasing Success

by Jacqueline LaPointe

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...

Accounting for the Patient in the Healthcare Revenue Cycle

by Jacqueline LaPointe

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...

Investing in Primary Care Delivers Value-Based Care Results

by Jacqueline LaPointe

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...

Aligning the Healthcare Revenue Cycle with Patient Experience

by Jacqueline LaPointe

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...

Looking Beyond Price in the Healthcare Supply Chain to Add Value

by Jacqueline LaPointe

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...