The Centers for Medicare & Medicaid Services, the nation’s largest payer, has set a clear direction with its publication of targets: By 2018, 50% of fee-for-service payments will be through alternative payment models, such as ACOs and bundled payments, and 90% of FFS payments will be tied to quality or value. And CMS has begun to introduce mandatory bundles. This suggests that all providers will
need to develop population health competencies, including the ability to manage risk for both cost and quality.
In late August 2014, the Centers for Medicare and Medicaid Services (CMS) announced plans to reinstate the Recovery Audit program on a limited basis. CMS reports the delay in restarting the Recovery Audit program was to enable the various RAC regions to restructure, allowing time for the appeals to catch up. Soon, however, the hiatus will end and RACs in all regions will resume automated reviews; these will be in addition to select complex reviews based on topics chosen by CMS.
Healthcare billing and claims handling has become increasingly complex. With the transition to Version 5010 of the HIPAA electronic transaction standards, the expansion of billing codes under ICD-10, and the ever-changing requirements of insurance companies and the Centers for Medicare and Medicaid Services (CMS), it can be nearly impossible for providers to keep up.
Aligning IT and business perspectives requires the ability to create links between configuration information in the CMDB and the business service as experienced by the user. Service Dependency Mapping (SDM) products automate the process of creating and maintaining these links.
Generally, CMDBs populated by discovery tools alone simply aren't usable. They fail because they contain massive amounts of irrelevant information. You avoid this pitfall by correctly populating your CMDB in four simple steps.
Because business success is tightly fused with technology, IT costs are rising, and this trend is expected to continue. As a result, businesses are demanding that IT be more than a static resource. IT is expected to deliver business results with a measurable contribution to the organization's bottom line.
ITIL provides a framework of customizable best practice initiatives that help organizations consistently deliver high-quality IT services. Effective ITIL implementation adds value to the IT infrastructure and improves business and service delivery.
Composite applications can provide multiple benefits, such as business agility, better utilization of business software assets through code reuse, development efficiencies, and cost optimization. Once companies are skilled at deploying them, many find that they roll out new applications and integrations faster, while maximizing the value of "tried and true" software components.
Application management requires visibility from multiple vantage points within the IT enterprise, combined with a centralized information store that pulls the technology pieces of the application puzzle into a coherent whole.
To meet the challenges of intense competition and increasing customer demands, companies must tightly align their IT service management with business issues and priorities. This paper outlines the maturity steps involved in the progression towards proactive Business Service Management (BSM) and explains how ASG's metaCMDB helps secure its seamless adoption.
Application Portfolio Optimization (APO) provides executives with tools and information to assess the quality and condition of application assets as well as a means for understanding the impact of proposed application changes.
Improved business productivity often requires more efficient IT and more efficient IT cannot be achieved without a better understanding of the way business services are run and delivered. Configuration Management Databases (CMDBs) have emerged as a central component for Information Technology Infrastructure Library (ITIL) and business service management (BSM).
As IT evolves towards a more business-aligned position, it must seek out new ways of working that support more effective operations, service creation, and service delivery. These include technologies, processes, and a culture that supports higher levels of accountability, as well as more dynamic responsiveness to business needs.
End-user expectations and high levels of performance against Service Level Agreements (SLAs) must be achieved or organizations risk the loss of business. This paper details key capabilities needed for successful end-user monitoring and provides critical considerations for delivering a successful end-user experience.
Targeted at IT executives responsible for both the financial and ultimate project oversight of an enterprise CMDB initiative, this white paper sets expectations for ROI calculations for CMDB initiatives, provides basic ROI best practices, and gives readers sufficient insight to move forward with their CMDB project.
Virtualization is now mainstream. Enterprises continue to heavily invest in virtualization projects and while short term hardware and cost saving benefits are being achieved, few enterprises achieve anywhere close to the full potential of virtualization as they struggle with new problems like assuring performance and availability, preventing VM sprawl, and maximizing resource utilization
Business Service Management (BSM) is of growing importance in the IT world. By managing IT systems according to the business services they support - like order entry, online sales, shipping, or customer service - IT is able to deliver on real business goals like providing competitive advantage, improving customer satisfaction, driving revenue growth, and increasing shareholder value.
Configuration Management is at the heart of the IT Infrastructure Library (ITIL®) and forms the foundation for Business Service Management (BSM). In fact, it is safe to say that neither the ITIL IT Service Management (ITSM) processes nor the BSM functions that leverage ITSM can be efficiently carried out without accurate configuration and dependency information.
Effective workload automation that provides complete management level visibility into real-time events impacting the delivery of IT services is needed by the data center more than ever before. The traditional job scheduling approach, with an uncoordinated set of tools that often requires reactive manual intervention to minimize service disruptions, is failing more than ever due to todays complex world of IT with its multiple platforms, applications and virtualized resources.
Virtualization continues to grow at 20 percent or more per year, but it is not expected to overtake existing physical architectures at least through 2010. This white paper examines the unique challenges of virtualization and offers tips for its successful management alongside IT's physical deployments.
A recent survey of CIOs found that over 75% want to develop an overall information strategy in the next three years, yet over 85% are not close to implementing an enterprise-wide content management strategy. Meanwhile, data runs rampant, slows systems, and impacts performance. Hard-copy documents multiply, become damaged, or simply disappear.
There are success stories of businesses that have implemented Business Service Management (BSM) with well-documented, bottom-line results. What do these organizations know that their discouraged counterparts don't?
Configuration Management is at the heart of the IT Infrastructure Library (ITIL) and forms the foundation for Business Service Management (BSM). In fact, it is safe to say that neither the ITIL IT Service Management (ITSM) processes nor the BSM functions that leverage ITSM can be efficiently
carried out without accurate configuration and dependency information.
Published By: Sitecore
Published Date: Jan 06, 2009
This guide offers insight into the WCM technology choices available today, discusses some of the requirements both IT and business users should consider when selecting a WCM solution, and includes advice for ensuring a successful evaluation process.
Published By: Sitecore
Published Date: Jul 08, 2009
This whitepaper discusses the need to target outcomes and focus on building a complete, 360-degree view of your customers -- who they are, where they came from, what they do, and how you can best meet their needs.