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.
Registered nurses, with targeted training, are the secret weapon in the race for comprehensive care coordination.
Accountable care organizations. Patient-centered medical homes. Value-based reimbursements. Bundled payments. Healthcare is experiencing a revolution brought on by the Patient Protection and Affordable Care Act that aims to put patients squarely in the middle of all their clinical and financial decisions. Payers, including government agencies and insurers, are tying the quality and safety of patient care to reimbursements, making patient-centered care a necessity in all settings.
Published By: Progress
Published Date: Mar 26, 2018
Patients are morphing into healthcare consumers, while healthcare providers and suppliers are simultaneously facing tighter payments. The Triple Aim is the operating beacon to deal with this challenging operating environment. How will healthcare organizations manage? By bringing data together from inside and outside the traditional healthcare system, and quickly delivering solutions into people’s hands via a new generation of enterprise health clouds.
Healthcare organizations are facing uncertain times, which are putting enormous strains on their revenue cycle management (RCM). Automation is proven to improve RCM measures, and even small improvements can significantly impact the bottom line. This whitepaper details how providers can embrace automation to help drive financial performance.
Children’s Mercy is not only one of the nation’s top pediatric medical centers, they have a strategy that improves organizational profitability in the face of constant change – all while delivering world-class care for their patients. Children’s Mercy accomplished what many have tried: integrating hospital and ambulatory revenue cycle activities with complete integration of all processes on a single IT platform.
Sharp is leading the way in the shift to shared risk. In this journey, they manage to the right financial metrics while still delivering appropriate care to their patient population. Watch the video to learn how GE Healthcare is helping Sharp make a difference.
The shift to value-based reimbursement (VBR) entails more financial risk for providers. Successful management of the transition to VBR can only be achieved when healthcare organizations are clinically and financially integrated to ensure tight care coordination and efficient resource utilization. That level of integration requires the aid of a robust IT infrastructure to support the enterprise. This whitepaper offers the opportunity to learn about new tools for healthcare providers to manage financial challenges associated with value-based reimbursement
This paper will explore some of the market dynamics driving the financial volatility in healthcare and will explore how advanced analytics, with the right IT backbone and organizational competencies, can help organizations successfully identify ways to manage revenue cycle profitability.
Advanced Medical Imaging (AMI) offers a full range of diagnostic imaging and intervention services in the metro Denver, Colorado area. In an effort to create a more proactive patient collection process they turned to ZirMed. Learn how AMI was able to increase point-of-care collections by estimating patient responsibility and collecting a portion of payment before service.
Manage medical imaging and documentation better by presenting patient information – in context – in one location. Read on to see how a flexible, enterprise patient viewer helps healthcare IT ensure patient and clinician satisfaction while supporting the market’s healthcare delivery and payment system initiatives.
Health insurers have long been plagued by issues of fraud, waste, abuse, error and corruption. Taking an enterprise approach to payment integrity – one that combines advanced data management and sophisticated analytics – can help payers detect and prevent fraud; effect positive change in how providers, employees and patients behave; and substantially reduce health care costs. Payers can achieve better outcomes when software support for the core disciplines of payment integrity run on a single platform.
Published By: Progress
Published Date: Mar 26, 2018
Patients are morphing into healthcare consumers, while healthcare providers and suppliers are
simultaneously facing tighter payments. The Triple Aim is the operating beacon to deal with
this challenging operating environment. How will healthcare organizations manage? By bringing
data together from inside and outside the traditional healthcare system, and quickly delivering
solutions into people’s hands via a new generation of enterprise health clouds.