Five Tactics to Boost Clinical-Financial Alignment Toward EHR Data Efficiency
Dan O’Connor offers five tactics to help optimize technology investments to meet the evolving expectations of both end-users and patients.
Why Hospitals Are Optimistic About Prospects for Star Ratings Overhaul
Hospital advocates hope an appeal tuned to the Trump administration’s focus on reducing costly and time-consuming provider burdens will pay off in an overhaul of the hospital star-rating system.
Engaging Physicians in Value-Based Compensation Models
The University of Maryland St. Joseph Medical Center model layers a 50/50 share of any incentive payments on top of a work RVU-based component to account for revenue that is still generated by the number of patients that providers see.
Using Business Intelligence to Succeed in Value-Based Care
Gain buy in for value-based care by picking a few key areas to cost and monitor. A few easy wins builds momentum and confidence across a healthcare organization.
Prospective Health Assessments and Best Practices for Risk and Quality
PHAs provide member insight that helps health plans bolster care management, integrate financial and clinical information, and improve care quality.
How Medicare Advantage, Medicaid Managed Care Plans Can Improve Quality Reporting
Integration of risk, quality, and care programs is among the steps that can help health plans in the government-sponsored healthcare space lower the burden of accurately documenting and reporting quality metrics.
12-Year Trend Shows Steady Rise in Acute Care Hospital Administrative and General Costs
An analysis of Medicare cost reports shows that U.S. Hospitals saw a gradual increase in their administrative and general costs from 2004 through 2016.
Healthcare Consumerism Requires Comparable Quality and Cost Data
Provider organizations and health plans can advance the use of cost and performance data to support consumerism, as collaboratives in Massachusetts and Minnesota are showing.
Successfully Navigating the Surge in HEDIS Reviews
Greg Ford outlines three best practices insurance companies can follow as they prepare for HEDIS reviews.
Analyzing the Frequency of Changes Among Worksheets in Medicare’s HCRIS
A study ranked worksheets providers use in filing Medicare cost reports by the frequency with which they needed to be updated, highlighting some areas requiring special attention from individuals charged with completing the cost reports.