Optimizing the Preauthorization Process
Senior healthcare provider and health plan leaders examine the difficulties associated with preauthorization and offer strategies for how stakeholders can collaborate to optimize the process.
Preparing the Healthcare Workforce for Value
Healthcare leaders are taking various steps to ensure their workforces evolve to meet the demands of value-based care, but long-term solutions require collaboration across the spectrum of care.
Not Yet Free from Harm
Tejal Gandhi addresses ways healthcare organizations can pursue the goal of greater patient safety.
Leveraging Scale for Value in a Decentralized System
A major initiative to bring University of California Health’s five campuses together as a system began with a successful revenue cycle project.
Care in Place: Bringing Care Back to the Future
Atrius Health leaders describe a new home care program that keeps patients out of the hospital through the provision of coordinated care.
Care Transition to Skilled Nursing Facilities
Derek McLaren discusses how hospitals can best forge strong partnerships with skilled nursing facilities.
The New, No-Norm World of Health Care
Reforms and trends in health care are causing healthcare organizations to look at their clinical and financial operations in a different light.
The Dangers of “Downcoding” in Emergency Medicine
Kenneth J. Heinrich discusses how “routine emergencies” can result in lost revenue due to incomplete documentation.
Addressing Social Determinants of Health: A State Initiative
The Vermont Blueprint for Health is a state-government program that integrates health care with social services with the goal of improving outcomes and controlling costs for patients with chronic conditions.
Incorporating Social Determinants Into Population Health Management
To be able to consistently deliver high-value care for patients with chronic illnesses, healthcare providers must address the social determinants of health that can affect health quality for such patients.