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Published By: MedAssets     Published Date: Aug 06, 2015
How can you prepare for regulatory reimbursement changes? Scenario planning is proving essential to cope with value-based reimbursement, shrinking networks and the Affordable Care Act. Strategize and plan for success by downloading this checklist.
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MedAssets
Published By: TruBridge     Published Date: Apr 01, 2015
Rolling Plains Memorial Hospital achieved a substantial $438,000 reimbursement improvement in just 3 months by taking advantage of TruBridge’s Clinical Documentation Improvement (CDI) Training. Rolling Plains Memorial Hospital is an 85 bed community hospital located in Sweetwater, TX with annual revenue of $42 million. As the executives at this facility noticed a discrepancy in patients’ charts and the level of care the patients received, they knew something needed to change. TruBridge was able to make a dramatic difference in clinical documentation and capture the earned reimbursements.
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TruBridge
Published By: HealthLeaders Media     Published Date: Dec 12, 2014
Creating a successful patient experience strategy is a long-term investment in planning, surveying, training, and technology. Healthcare organizations hope these efforts will pay off at the very least with a growing base of loyal patients, better care quality, and stable reimbursement. And then there are those organizations that are turning patient experience into a movement. What’s their endgame? They intend to build state-of-the-art service-oriented cultures that rival other industries, and they are doing it through data analytics, unique communication programs, radical cultural shifts, and consumer-centric technologies. Sponsored material.
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HealthLeaders Media
Published By: HealthLeaders Media     Published Date: Apr 14, 2016
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.
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HealthLeaders Media
Published By: API Healthcare     Published Date: May 20, 2015
With the inception of Value-Based Purchasing, the measurement of successful patient care delivery has been redefined. The move from fee-for-service to pay-for-performance means that reimbursements are tied to the quality of care that is delivered.
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API Healthcare
Published By: Spok     Published Date: Jun 15, 2016
Today in healthcare the communication infrastructure is the backbone in IT. New reimbursement models are amplifying the need for care coordi­nation, and communication between multiple departments, constituencies, and workflows is required. High-performing healthcare systems are adopting enterprise communication solutions to eliminate silos of information, improve patient care during critical situations, and make the most of their IT budget.
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Spok
Published By: Truven Health Analytics     Published Date: Apr 01, 2015
Some factors commonly used to explain poor operating performance do not prevent many hospitals from being highly profitable. For example, Truven Health AnalyticsTM has found that rates of uncompensated care, drug expense, and other factors do not seem to differ between unprofitable and very profitable hospitals. But factors such as Medicaid utilization rates and poor reimbursement rates do appear to impact the least profitable hospitals. One controllable factor that appears to be significant is labor productivity, with the most profitable hospitals posting the lowest labor expense per patient.
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Truven Health Analytics
Published By: RelayHealth     Published Date: Mar 23, 2016
U.S. healthcare providers are venturing into the treacherous waters of value-based care, and many are starting their voyages in leaky boats, according to a recent survey of industry executives conducted by HealthLeaders Media and sponsored by RelayHealth.
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RelayHealth
Published By: JATA     Published Date: Sep 30, 2015
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.
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JATA
Published By: Capella University     Published Date: Oct 23, 2015
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.
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Capella University
Published By: Greenway Health     Published Date: Oct 15, 2014
Provider organizations can realize tremendous gains in financial performance by integrating electronic health record (EHR) and revenue cycle management (RCM) systems. Especially in the face of the transition to ICD-10, results include optimizing revenue streams directly at the point of care, maximizing and speeding reimbursement, minimizing denials and streamlining the collection process.
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Greenway Health
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.
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Caradigm
Published By: GHX     Published Date: Nov 25, 2014
Electronic health record (EHR) system implementation is one of the largest IT investments most healthcare systems have ever made but it’s success is largely dependent upon the data which feeds it. One the main data sources for the EHR is the item master, which drives not only supply chain processes but also a broad range of clinical and financial functions. Only with a clean, accurate and complete item master can a healthcare organization trust the outputs generated from its EHRs – from evaluating the clinical effectiveness of products to securing reimbursements. Learn how to execute a master data management strategy to derive the greatest value from your EHR investment.
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GHX
Published By: Oracle HCM Cloud     Published Date: May 25, 2017
Today’s healthcare organizations struggle to compete for skilled talent and market share admist increasing competition, industry consolidation, shrinking reimbursements, and the switch from volume to value-based care. Follow these recommendations to create an agile workforce and improve patient and member satisfcation, while keeping costs in check.
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Oracle HCM Cloud
Published By: GE Healthcare     Published Date: Aug 27, 2015
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.
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centricity business, financial management, revenue cycle, hospital billing, hospital finance, patient billing, rcm, episodic payment
    
GE Healthcare
Published By: GE Healthcare     Published Date: Aug 27, 2015
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
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centricity business, financial management, revenue cycle, hospital billing, hospital finance, patient billing rcm, episodic payment, accountable care
    
GE Healthcare
Published By: The TriZetto Group     Published Date: Aug 01, 2011
Learn how to maximize efficiencies through greater system integration and automation, enable seamless interactions with providers, members and other constituents, and drive increased healthcare value with automated, value-based programs.
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trizetto, trizeto, healthcare reform for payers, payers and healthcare reform, reform and payers, compliance with reform, administrative efficiency, technology
    
The TriZetto Group
Published By: Allscripts     Published Date: Oct 14, 2015
Independent physician practices are weighing their options as fee-for-service reimbursement models shift to value-based-care models, such as Accountable Care Organizations (ACOs). Download this white paper to learn more about forming ACOs.
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accountable care organizations, acos, independent physician practices, fee-for-service, reimbursement, healthcare finance, practice management
    
Allscripts
Published By: Allscripts     Published Date: Oct 30, 2015
Download our ebook today to discover how Allscripts Value-based Care Services can help your practice adjust to changing reimbursement trends.
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medicare, value-based reimbursement models, revenue growth, value-based care, allscripts, community care solutions, chronic care management solutions, analytics
    
Allscripts
Published By: TriNet     Published Date: Jul 28, 2015
How to Get the Package You Need —Without Breaking the Bank
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hr functions, consumerism encouragement, health care reforms, cost of benefits, benefits package, consumer-driven health plan, health savings account, health reimbursement arragement
    
TriNet
Published By: athenahealth     Published Date: May 24, 2012
Health care providers cope with an avalanche of complex rules, regulations, and administrative processes just to run their practices. At the same time, costs are increasing and reimbursement rates are declining. The only way for a practice to achieve financial health in this demanding environment is to learn how to operate at peak performance level.
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healthcare, cost, ibm, asset management, service management, technology, health analytics, business intelligence
    
athenahealth
Published By: athenahealth     Published Date: Sep 05, 2013
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.
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group practice growth, strategies for success, healthcare mergers, medical group growth, medical group, meaningful use, health analytics, business intelligence
    
athenahealth
Published By: RelayHealth     Published Date: Jul 08, 2013
Helping you keep your finger on the pulse of the revenue cycle
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revcycle report, payer payment resolution, payment velocity, patient service, payer reimbursements, revenue cycle, relayanalytics pulse
    
RelayHealth
Published By: Allscripts     Published Date: Jun 05, 2013
This paper explores the unique perspectives of both types of organizations. The participants include two of the original 32 Pioneer ACOs; the nation’s largest commercial ACO; a major IDN that is pursuing its own ACO pathway; a large stand-alone hospital that has yet to take the formal step of creating an ACO but is experimenting with the model; and a large, independent, multispecialty physician group that is wary of stepping into the ACO waters.
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aco, idn, accountable care organization, medicare, reimbursement, business intelligence, enterprise resource planning, healthcare reform
    
Allscripts
Published By: Allscripts     Published Date: Jun 05, 2013
This paper examines these technologies in the context of a four step process that many successful practices are using to optimize their revenue cycles. The “Four Steps to Transformation” methodology represents the distillation of best practices from thousands of medical groups across the United States who leverage technology to improve their bottom lines.
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physician, revenue cycle, technology, physician compensation, billing, reimbursement, policy and legislation, enterprise resource planning
    
Allscripts
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