Frost & Sullivan’s award was bestowed on GE’s Centricity Financial Risk Manager which enables healthcare systems to reduce the cost of administering risk-based contracts, thus improving profitability and maximizing efficient workflows.
Published By: MedAssets
Published Date: Aug 01, 2014
While the challenges of implementing ICD-10 are well documented, the impact to the revenue cycle is not as well known. Revenue cycle leaders must model their payor contracts now to mitigate the risks that ICD-10 will bring.
The HealthLeaders Media Physician Alignment Survey confirms there is continued deep support for clinical integration across our industry. We see some clear trends in how hospitals and health systems use clinical integration and risk sharing to work toward physician alignment and better access.
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.
The need for analytic tools to make sense of disparate data sources will certainly be expanding in the upcoming years. This report highlights what analytical data healthcare leaders are currently focusing on, as well as the challenges they expect to face when using analytics to support their organizations in the future.
Nearly six years after passage of the Patient Protection and Affordable Care Act, the healthcare industry is in the midst of a massive retooling that is dramatically altering the way we think about cost management, strategic partnerships, and customer service.
Fee-for-service reimbursement is giving way to new models of care delivery and payment to support a system based on pay-for-value. With financial risk or payments tied to value measures (such as patient satisfaction, clinical performance, and population health), compensation and reimbursement will increasingly be tied to value-based incentives.
In response to concerns raised by healthcare leaders that the absence of adjustment for socioeconomic status (SES) and race characteristics in patient populations impedes the fair comparison of hospitals on risk-standardized 30-day unplanned readmission rates, Truven Health AnalyticsTM evaluated the extent to which risk-adjusted readmission rates for acute myocardial infarction, heart failure, and pneumonia are affected by adjustments for community-level SES factors through its Community Need Index (CNI) and patient race. The study shows there is, indeed, a statistically significant effect. For more, visit truvenhealth.com/wp/readmissionpenalties.
Truven Health Analytics™ evaluated the extent to which community need— a measure of the underlying economic and social factors that affect the overall health of a community, including income, cultural/language barriers, education, insurance and housing—is associated with elevated rates of preventable hospitalizations or an increased risk of hospitalization believed to be preventable with quality ambulatory care. The results of this investigation reveal a modest but statistically significant association between community need and an increased risk of hospitalizations that are believed to be preventable with good-quality ambulatory care.
Creating a state-of-the-art clinical documentation improvement (CDI) program isn’t just about boosting coding accuracy. It’s a key strategy in managing the transition from volume-based to value-based care, say healthcare leaders. That transition is a risky endeavor that is putting hospital and physician financial performance to the test. As hospitals participate in new care and business models aimed at improving value, leaders must ensure that their organizations are able to maintain reimbursement levels, effectively treat the chronically ill—especially in outpatient settings—and gather accurate data that will allow them to assess performance and segment their varying populations. While some organizations often believe they are leaving revenue on the table because of documentation and coding issues, CDI offers numerous opportunities for improving financial performance, finds a recent HealthLeaders Media survey of 149 healthcare executives at provider organizations.
Driving financial performance in the outpatient setting is a top-of-mind priority among senior health system leaders. But managing the differing clinical documentation methodologies and risk assessment strategies present the greatest challenges to optimizing this important source of revenue, according to a recent HealthLeaders Intelligence survey. Provider organizations are finding the ambulatory setting is still a ‘Wild, Wild West’ in terms of assessing risk, clinical documentation, coding billing and medical record keeping practices. Download this report to discover key targets to improve ambulatory revenue.
For a non-profit enterprise seeking to design effective investment portfolios for its asset pools, understanding the role of each of those asset pools is a crucial first step.
The organization's goals and exposures can impact all parts of its portfolio construction process, from initial broad decisions on risk tolerance to more targeted decisions on asset-class exposures and investment vehicle preferences.
Published By: Zix corp
Published Date: May 11, 2016
Email is the most used communication tool in business. It's so easy to click that seemingly innocent 'Send' button that you may not realize the risk. Find out your next steps to an implementing an effective secure email strategy.
Published By: Caradigm
Published Date: Feb 16, 2015
Many organizations joined the ACO program with the idea of using it as the first step in the transition to new reimbursement models. It’s a critical time for more ACOs to achieve the milestone of shared savings in order to demonstrate the ability to lower costs for an “at-risk” population. As best practices are emerging from early participants in the ACO program, ACOs have the opportunity to evolve their strategies in order to achieve more success.
Download this whitepaper to learn the following:
1. Background and basis of decreasing payments and increasing risks
2. Challenges and opportunities associated with the trend
3. How to thrive versus simply survive in this new healthcare environment
Published By: McKesson
Published Date: May 27, 2015
The shift to value-based care creates a sharp increase in healthcare organizations and networks’ need for data collection, aggregation and analysis. This white paper outlines the challenges involved with performing population-level analyses, developing cost accounting and profitability analyses across care settings, evaluating care episodes and integrating quality data. It explores the limitations of targeted software solutions to provide cross-enterprise insights. Finally, it provides advice for healthcare executives regarding how to approach gathering quality and cost-related data and how to leverage technology and analytical expertise to drive risk-based contract success.
There is a growing need for granular de-identified health information, but many organizations are unsure of where to begin. This Privacy Analytics white paper is designed to guide you through the process of risk-based de-identification.
"Extracting value from data is central to the digital
transformation required for businesses to succeed
in the decades to come. Buried in data are insights
that reveals what your customers need and how
they want to receive it, how sales, manufacturing,
distribution, and other aspects of business operations
are functioning, what risks are arising to threaten
the business, and more. That insight empowers your
businesses to reach new customers, develop and
deliver new products, to operate more efficiently
and more effectively, and even to develop new
business models. "
Published By: Sage EMEA
Published Date: Jan 29, 2019
SagecommissionedForresterConsultingtoconducta TotalEconomicImpact™(TEI)studytoexaminethe potentialreturnoninvestment(ROI)organizationsmay realizebydeployingits Enterprise Management solutionas part of Sage Business Cloud.Thepurpose ofthisstudyistoprovidereaders withaframework to evaluatethepotentialfinancialimpactof Enterprise Managementwithintheir organizations. Tobetter understandthebenefits,costs,andrisks associatedwithaninvestmentinEnterprise Management,Forrester conducted in-depth interviews withtwoEnterprise Managementcustomers. For a brief description of each customer, see the Analysis section. According toSage,Enterprise Managementis an integratedand globalenterprise business management solution for purchasing, manufacturing, inventory, sales, customer service,and financial management. Formoredetails ontheEnterprise Management solution,seeAppendix A. For this TEI study, Forrester has created a compositeOrganizationto illustrate the quantifiable benefits and costs of investing i
In this in depth report, readers will learn about the factors driving companies toward a human resources outsourcing model, along with the risks and advantages of outsourcing human resources functions and processes, and the approaches available.
Published By: Rackspace
Published Date: Feb 12, 2019
In today’s digital world, technologies such as cloud have become commonplace to take digital transformation projects to the next level. But while cloud is critical to business transformation success, Australian IT decision-makers (ITDMs) still feel that the C-suite does not understand the time and complexity of the journey.
This paper explores:
• Insights on challenges faced by Australian ITDMs when rolling out cloud projects
• The role of the ITDM today
• Key blockages IT stakeholders encounter when driving digital change, and;
• What they need from the business and wider technology ecosystem to navigate the risks associated with starting a cloud project or moving to a full cloud-first model.
LTI helped a leading global bank digitize its traditional product ecosystem for AML transaction monitoring. With the creation of a data lake and efficient learning models, the bank successfully reduced false positives and improved customer risk assessment. Download Complete Case Study.
Published By: Mimecast
Published Date: Jan 17, 2019
Two-thirds of all internally generated email sent is from employees communicating within an organization*. Yet most IT organizations only focus on inbound email when it comes to protecting against cyber-attacks. In doing so, they ignore the serious risks posed by internal and outbound emails and the actions of two at risk groups of users - the compromised and careless employee.
Mimecast Internal Email Protect extends the security capabilities of Targeted Threat Protection to provide advanced inside-the-perimeter defenses. Watch this on-demand webinar where Mimecast’s Chief Trust Officer, Marc French, and Cyber Security Strategist, Bob Adams discuss:
The top things to do to optimize your Targeted Threat Protection implementation and prepare for addressing the threats on the inside.
The multiple ways internal email threats start, and why human error nearly always plays a role.
The scale and impact of attacks that spread via internal email.
How to extend your current protection with Mim
This eBook offers a practical hands-on guide to analyzing and mitigating the risks of migrating to PostgreSQL.
With the ongoing shift towards open-source database solutions, it’s no surprise that PostgreSQL is the fastest growing database. While it’s tempting to simply compare the licensing costs of proprietary systems against that of open source, it is both a misleading and incorrect approach when evaluating the potential for return on investment of a database technology migration.
A key decision criteria for adopting any technology is whether it can support requirements for existing applications while also fitting into longer term strategies and needs.
The first section of this eBook provides a detailed analysis of all aspects of migrating from legacy and commercial solutions to PostgreSQL:
? Schema and code migration
? Data migration
? Application code migration
? Testing and evaluation
"Agile" software development is an increasingly popular development process for producing software in a flexible and iterative manner that can deliver value to the enterprise faster, reduce project risk and allow adaptation to changes more quickly.
For most companies, the Human Resources department has a long history of guarding sensitive employee data. Rows of beige file cabinets line a back closet where only those with a key and knowledge of the filing system have access to the personal information of countless employees. The greatest risk to this data has always been fire or water damage, but that’s quickly changing with the emergence of online data storage.