In the post-ACA era, aligning physicians with organizational goals appears to be gaining traction in health systems and hospitals nationwide. Based on a February survey of the HealthLeaders Media Council, comprising executives from healthcare provider organizations across the country, physician alignment remains a complex challenge.
Even as value-based care continues to take effect, clinical integration or alignment is quickly emerging from a need to ensure quality, cut costs, and drive referrals across health systems and hospitals. Directly employing physicians has been one of the main strategies healthcare leaders are using to improve physician alignment with health systems.
Download this free report today, and learn about the results of aligning the goals of physicians and organizations.
Healthcare reforms have prompted hospitals across the country to improve cost efficiencies wherever they can. In response, the accounts payable department of Southern Louisiana’s Ochsner Health System discovered a solution that helped improve cash management while reducing costs.
Workforce management and the pursuit of productivity have formed a consistent pain point for hospitals for several years. The Affordable Care Act has only exacerbated the problem, increasing the demand on providers as the number of insured grows and the bar continues to rise on quality of care. According to a recent HealthLeaders Media Council survey, workforce productivity and acuity-based staffing will continue to be top priorities this year. Karlene Kerfoot, PhD, chief clinical integration officer at API Healthcare, says the survey results indicate a shift taking place as workforce management initiatives are expected to deliver more than reduced labor costs.
Healthcare reform regulations, increasing costs, and more competition are driving employers and their health plans to focus more than ever on opportunities to reduce cost trends. For example, the country experienced a 3.0% growth in per capita gross (allowed) medical and pharmacy costs from 2012 to 2013. Truven Health Analytics anticipates those costs in 2014 and 2015 will increase by 4% to 5% or more. By taking a data-driven approach, payers can manage costs and, ultimately, make their benefit programs sustainable in the context of healthcare reform. They can also maximize opportunities to improve population health and productivity and optimize the delivery of care.
The changing healthcare environment has put pressure on healthcare organizations to deliver top-quality care while keeping costs under control. Superior operational and financial performance can be measured by high margins and low costs. But there are significant operational indicators that differ between high- and low-performing hospitals, depending on whether performance is defined by expense or by margin. Often, hospitals with the lowest costs are considered the most successful. But low-cost hospitals do not necessarily behave the same way as hospitals with healthy margins. Low-cost hospitals can include both efficient hospitals and hospitals that are in dire financial circumstances that have forced them to even eliminate expenses necessary for their long-term fiscal health.
Healthcare organizations are facing uncertain times, which is putting strains on their revenue cycle management. Automation can help lower staff costs, enhance clean claims rates, cut denial rates, improve patient collections and reduce bad debt.
Healthcare organizations are facing uncertain times, which is putting enormous strains on their RCM. This white paper will show how you can lower your staff costs, enhance clean claims rates, cut denial rates, improve patient collections and reduce bad debt.
A decade ago, hospital leaders viewed cost containment as a distant option to that of building topline revenue through increased volumes and rates. But with the road to profitability choked off by a recession, the ACA, and double-digit increases in healthcare inflation, most have been left pursuing a flurry of initiatives to cut operational costs and maintain positive margins.
The U.S. spends more on health care than any country in the world – to the tune of $7,290 per capita per year. Yet this massive spend does not equate to high quality care for Americans. As a result, $300 billion is wasted every year.
If you’re a self-insured employer focused on driving down health care costs and better meeting the health care needs of your employees, this paper provides valuable and actionable insights to help you achieve this goal.
This white paper reveals:
• How low-quality care affects both the cost of care as well as patient outcomes
• Five best practices in helping employees identify high-value providers
As a broker, your customers look to you to provide guidance, education and cost savings in a world filled with ever-changing regulations and skyrocketing costs. See where Houston businesses find the most value in their brokers and what new options exist to help contain costs.
• Learn where Houston businesses see brokers adding value
• See the impact carrier satisfaction has on changing carriers
• Read about new cost-containing options to help your clients
Houston businesses are as unique as Houston itself. But not every business looks at healthcare the same. See what other Houston businesses are choosing to offer their employees, how satisfied they are with their choices, and what other cost-reducing options are available.
• Learn what % of employees live in Houston, and how that impacts health care costs
• See how happy businesses are with current carriers and what that means at renewal time
• Find out what alternative options smart businesses are looking at
Health care costs are already out of control. You’ve tried everything you can think of to reduce costs, but nothing seems to work. Learn where the real problem lies and what you can do about it by rethinking your approach.
• Learn why the usual tactics do little to contain costs
• See how carrier choice and location impact cost
• Get educated on new approaches that contain costs
Insurers have long been plagued by fraud, error, waste, and abuse in health care payments. The costs are huge – amounting to as much as 25 percent of payments made. Today’s data management and
analytics platforms promise breakthroughs by incorporating comparative and behavioral data to predict as well as detect loss in all its forms. To explore the opportunities and how insurers can capitalize on them, IIA spoke with Ben Wright, Sr. Solutions Architect in SAS’s Security Intelligence Global Practice.
"Discover the technological solutions to deliver better patient outcomes From patient satisfaction to mobility to security, technology’s role in healthcare is changing rapidly as costs go up and demands of an aging population skyrocket. Explore this infographic to learn the six major trends in smart healthcare you need to know now >"
While the Affordable Care Act (ACA) increased the number of Americans with access to health insurance, U.S. employers and employees continue to struggle with rising health care costs and changing workforce demands. Recent Aon research shows that 20% of health care consumers cite high health care costs as the major reason they have either declined health care coverage, stopped taking medications, or avoided care altogether. If the U.S. health care system is to succeed, stakeholders across the health ecosystem must influence change in each market—employer, individual, and government (Medicare, Medicaid, and Tricare).
While each part of the three-legged stool is important, this paper focuses on five strategies Aon believes will strengthen the employer-based system—a system that provides health care coverage to well over half of Americans (61%, or 177 million).
The pressure is mounting and employers are feeling the pinch. As U.S. health care costs continue their seemingly inexorable rise, businesses are looking for ways to wrest greater value from their health care spend.
More and more, employers are looking for benefits strategies that help prevent chronic disease and, if it is present, encourage early, efficient treatment. The brass ring is getting employees to proactively manage their own health by adopting healthy behaviors, such as exercising and eating healthily. It’s better for the employees, it increases productivity, and it reduces health care expenditures.
So how are organizations today looking to craft health and well-being plans that deliver real results for employers and employees alike? This white paper looks at three key areas where new and innovative approaches are changing the equation.
This paper, the second in a series addressing four key challenges of healthcare reform, focuses on actions you can take now to streamline core administrative processes to drive efficiency and reduce costs.
The evolving healthcare landscape has created a wealth of fresh opportunities for payers. There is a sense of urgency for payers in leadership roles to leverage technology and successfully transition to a value-driven healthcare system that rewards top performers and high quality standards. Passage of the Patient Protection and Affordable Care Act (PPACA) quickly changed many aspects of payers' business with higher costs, new oversight, more competition and a longer-term promise of millions of new members. Since healthcare insurance reform became law, opponents have vowed changes, if not its outright repeal. While it may be tempting to take as little action as possible and hope that the 2010 mid-term election or 2012 general election will make this all go away, the reality is that repeal is not a likely possibility.
Keas surveyed more than 100 Human Resource Executives across the United States via an online survey between July 31 and August 16, 2013. This survey tracked HR executive opinions on HR topics and plans and priorities for the 2014 calendar year. The survey revealed health and wellness programs are taking center stage in employee engagement and retention. With healthcare costs and obesity-related diseases on the rise and wellness incentives baked into the Affordable Care Act (ACA), this will be the first year health will play a major role in health benefits as organizations integrate preventative care programs to manage costs.
The start of the Affordable Care Act has been delayed to January 2015 and now is the time to get educated on provisions for Corporate Wellness Programs which are critical to combatting rising healthcare costs.
It’s clear: the healthcare industry is in need of change. And today, the system is undergoing a critical transformation as it shifts from a volume-based to a value-based delivery model. Gone are the days of simply treating illness. Now, the focus is on managing the episode of care, containing the costs of delivery, optimizing services and improving patient outcomes.
Published By: Cognizant
Published Date: Oct 23, 2018
Value-based care is the predominant model for enabling the healthcare industry to control costs and deliver better information to consumers. The basic idea is that reimbursements are based on the quality of the outcome of a procedure, episode of care, use of a device or therapy. Under this model, life sciences companies are rewarded for improving health outcomes and/or reducing the costs to achieve those outcomes. It requires life sciences companies to rethink many of their processes, from R&D through the commercial phase. Navigating those momentous shifts requires that life sciences companies embrace a range of digital technologies which will enable a holistic approach to value-based care. This white paper will examine the drive for value-based care, its impact on life sciences companies and how technology platforms can address the challenges the industry is facing.
TMG Health, the largest business process outsourcing (BPO) provider in the Medicare and Medicaid market, relied on a slow, batch-oriented legacy application environment that prevented it from providing continuous data visibility and access to its clients. With help from Red Hat Consulting, TMG deployed a new application platform using Red Hat JBoss Enterprise Application Platform and other Red Hat solutions. As a result, TMG reduced development time and costs and delivered real-time data access and visibility to its clients.
Tired of year after year of healthcare cost increases, Steel Dynamics decided to fight back. They partnered with Castlight Health, a cloud-based provider of healthcare management services. Castlight Health’s health benefits platform armed employees with buying information — when and how they needed it. As a result, Steel Dynamics cut healthcare spending by approximately $500,000 in their first year with Castlight Health.