In today’s rapidly evolving healthcare environment, providers are faced with more challenges than ever when running acute rehabilitation programs. From treating the right patient at the right time to costly reimbursement battles, there is no shortage of issues that can interfere with delivering the best level of care. Addressing these problems is especially urgent when it comes to treating highly acute patients. To succeed, providers must learn strategies for overcoming the two most daunting obstacles: patient access and reimbursement. This guide examines the best practices for meeting these challenges.
Why prepare now for ICD-10? While the October 1, 2014 deadline for compliance may seem to be in the distant future, an informative whitepaper by GE Healthcare describes the importance of advance planning and outlines a plan for success.
Rising costs, declining reimbursements and the mandate to improve quality: these are key challenges that surgery centers face every day. For years, costs have continued to climb, while reimbursements have declined or, at best, remained stable. To address these issues and succeed in the future, surgery centers need to develop comprehensive plans that leverage both supply chain and clinical expertise. For many facilities, the next step is to conduct a clinical assessment that identifies new ways to improve inventory management and clinical practices. The heart of this approach from Cardinal Health is a clinical team that leverages OR and supply chain expertise to understand, prioritize and pursue opportunities for improving the health of patient and your practice alike. To learn more, read this case study and find out how two surgery centers have used a clinical assessment from Cardinal Health to improve performance.
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.
Published By: CareCloud
Published Date: Apr 27, 2015
Learn 6 best practices to make the most of your medical accounts receivables. Get CareCloud’s new white paper: “6 Key Strategies for Medical A/R Management” to ensure you’re getting paid what you deserve.
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.
What is the role of evidence-based medicine in population health management?
With the emergence of value-based reimbursement, more and more health systems have a renewed focus on population health management. See how evidence-based medicine becomes the "sheet music" to an effective population health program.
The transition from fee-for-service to value-based reimbursement has been a challenge for many providers. Financial incentives that favored high service volumes must now be re-focused to accommodate alternative models such as bundled payments and accountable care organizations (ACOs).
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.
Published By: CareCloud
Published Date: Mar 20, 2015
This white paper outlines three key reasons that outsourcing could be the right move for your medical practice. Download to find out more about the potential financial and efficiency gains for your practice.
• How to calculate potential cost savings
• Where up to 65% of practices have a weak revenue cycle spot, according to MGMA
• Why outsourcing before October 2015 makes sense
Bonus: A handy checklist to help you quickly figure out if now is the right time for your practice to outsource.
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.
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.
No matter how these issues are resolved, the new health care reality demands that providers deliver quality care while controlling costs. Use these six steps to bring success to your organization in the new reimbursement landscape:
1. Understand Your Costs
2. Reduce Out-Migration from Your Network
3. Maximize Pay-for-Performance Reimbursement
4. Identify Early Opportunities for Utilization Reductions
5. Support Chronic Care and Disease Management
6. Predict Who Will Develop Issues
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.
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.
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.
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.
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
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.
Published By: Medidata
Published Date: Nov 10, 2017
Founded by physicians committed to advancing medical science, Worldwide Clinical Trials is out to change how the world experiences CROs. From early phase and bioanalytical sciences through late phase and post-approval, they provide full-service drug development services across a range of therapeutic areas, including neuroscience, cardiovascular diseases, immune-mediated inflammatory disorders (IMID) and rare diseases.