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.
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
"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 >"
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.
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.
Healthcare mergers and acquisitions and medical group growth have been strong industry trends for years. One reason is the desire for critical mass to gain leverage with payers as reimbursement declines and costs increase. Healthcare mergers and acquisitions may offer benefits for many medical groups; it is not without its challenges. Read this whitepaper to learn how to successfully manage growth of your medical group.
Consumers have increasingly become more educated about their healthcare choices and economically vigilant about the costs.
In a HealthLeaders Media podcast, David Dyke, Vice President of Revenue Cycle Systems for RelayHealth, explains that when healthcare systems capitalize on patients' expectations, balance sheets and improve patient satisfaction scores.
Today's IT managers face tough challenges. There's pressure to reduce IT costs, end user demand for flexible yet secure working, and the constant need to maintain regulatory compliance. Join the IT managers around the world who are solving their biggest challenges with RES Software. Learn how organizations in every sector are giving end users the freedom to work the way they want, in any location and via multiple devices, while drastically reducing demand for hands-on IT professionals.
With the proliferation of health and fitness data due to personal fitness trackers, medical devices and other sensors that collect real-time information, cognitive computing is becoming more and more important. Cognitive computing systems, with the ability to understand, reason and learn while interacting with human-generated data, enable providers to find meaningful patterns in vast seas of information. IBM Watson Health is leveraging the power of cognitive computing to help providers make data-driven decisions to improve and save lives worldwide, while controlling healthcare costs. Read our whitepaper and learn about the new era of cognitive computing and how it can improve health outcomes, optimize care and engage individuals in making healthy choices.
"Healthcare payers and providers are under increasing pressure to:
- Provide and report on quality of care across their population
- Embrace new innovations faster
- Reduce costs across the organization
- Use consumer-friendly digital technology
Explore this actigraphic to see if your organization is on the right track for tackling these challenges."
This paper presents a cost/benefit case for two leading enterprise database contenders -- IBM DB2 11.1 for Linux, UNIX, and Windows (DB2 11.1 LUW) and Oracle Database 12c -- with regard to delivering effective security capabilities, high-performance OLTP capacity and throughput, and efficient systems configuration and management automation. Comparisons are of database installations in the telecommunications, healthcare, and consumer banking industries. For OLTP workloads in these environments, three-year costs average 32 percent less for use of DB2 11.1 compared to Oracle 12c.