Revenue integrity: an evolving function for hospitals and health systems
Hospitals and health systems require a revenue integrity function to best manage revenue cycle processes in today’s healthcare environment.
Analysis: Healthcare industry implications when more private-equity groups buy specialty physician practices
As more private equity groups get involved in healthcare deals, industry insiders express concerns about possible negative impacts on healthcare as a whole.
Boosting Accountability Helps ProMedica Save $108 Million in 2018
Each year, leaders at ProMedica set a 3 percent cost-reduction goal, which they believe is achievable and still has a significant impact on the bottom line.
States reeling under rising healthcare costs
Rising Medicaid costs and high costs of healthcare for state employees are having a negative effect on state budgets.
5 essential steps for driving revenue integrity through the CRC
Hospitals and health systems seeking to establish a clinical revenue cycle should follow 5 steps.
Montana’s dive into Medicare reference pricing reduces provider payments by almost $16 million annually
Montana’s adoption of Medicare reference pricing has dramatically reduced payment rates for healthcare services delivered to state employees.
High-impact clinical revenue cycle key performance indicators
There are 11 key performance indicators health systems should track to assess the performance of a clinical revenue cycle.
Analysis: CMMI primary care initiatives: Potential opportunity but lots of questions
The five new alternative payment models offer multiple participation options for primary care practices of different sizes with advanced capabilities.
Signs and symptoms to watch for in evolving compliance areas
Five evolving areas for compliance require attention from a hospital’s or health system’s compliance program: quality of care, patient abuse, quality reporting, emergency preparedness and case management.
Characteristics of high-performing ACOs
High-performing accountable care organizations (ACOs) have five characteristics in common that help them achieve success with value-based payment contracting.