Key questions for providers after more than 2 years of the price transparency rule
Evidence amassed from over two years of experience with compliance reinforces why providers need to focus on chargemaster prices and self-pay discount policies — and how they can benefit from analyzing trends in consumers’ price searches.
Why it’s so essential for hospitals to embrace a value-based payment strategy
dealing with myriad severe short-term operating strains, such as workforce shortages, to existential threats to their long-term future, including being cast as the enemy in the fight against rising healthcare costs, hospital leaders are struggling to maintain their organizations’ financial sustainability.
AI and machine learning – an intelligent approach to healthcare fraud prevention
The threat of fraud has only become more prevalent in healthcare as a result of three broad trends: Continued growth in the population of healthcare consumers The increase in care being delivered outside of traditional care settings, such as telehealth Exponential development of resources offering health and wellness services Moreover, as the baby boomer generation…
6 actions for physician practices on signing risk-based contracts
Physician practices are continuing to make the move into value-based payment, and for many, such contracts will present a substantial learning curve.
Care guidance offers a solution for addressing healthcare inequities
Access to healthcare is widely viewed among Americans as being a fundamental right. Yet health inequities continue to deprive many people access to high-quality, affordable care. It is incumbent on U.S. health systems to take the lead in addressing this problem.
Enterprisewide physician advisor programs are key to improving costs and revenue cycle performance
Making sure physicians understand the financial implications of how they document their care is critical to a health system’s financial sustainability.
How to determine appropriate patient status and navigate observation-level care
The financial implications of ensuring appropriate patient status throughout a hospital stay are substantial, so it is in organizations’ interest to enhance the process.
Hospitals face increased need amid pandemic to improve patient throughput
An acute care hospital cannot begin to be able to deliver cost-effective care if it lacks a fully coordinated approach for moving patients from admission to discharge.
Point-of-service collection goes better if the right strategies and tactics are employed
Health systems need to adopt new strategies that will support a positive patient experience and improve collection efforts, all while minimizing the negative impact to patients.
Hospitals require an integrated team approach to ensuring revenue integrity
Hospital and health system finance teams should not view payment audits and denials as being solely their concerns. Instead, these issues require an all-hands-on-deck approach.