Safety Net System Achieves $130M in Fiscal Improvements in 4 Years
Denials management and “keepage” strategies—keeping services within the health system—helped Maricopa Integrated Health Services improve its margins even in the face of a challenging payer mix.
A New Framework for Healthcare Performance Improvement
Improvement initiatives must increasingly focus on long-term, high-impact areas that reengineer clinical care, sharpen an organization’s service portfolio, and exploit the system’s scale of operations.
Six Ways to Look at Your Next Consolidation
To avoid making changes simply for the sake of change, healthcare leaders should attend to any unfinished business from prior changes and ensure any new move toward consolidation accounts for future uncertainty as well as potential new opportunities.
Service Line Analytics: Sound Decision-Making Starts with Reliable Data
Healthcare organizations are recognizing that incorporating service line analytics into strategic activities enables better understanding of each area’s financial and operational impacts. In addition, service line analytics signal when real-time improvements are needed and drive more informed decision-making.
VA Bill to Ease Veterans’ Use of Private Care
May 30—Following years of complaints from hospitals and other providers, Congress recently revamped the Veterans Affairs (VA) Department’s use of outside providers.
From What to How: Moving from Planning to Execution
When data-driven strategy management tools are used, transparency and accountability create speed to solution, speed to execution, and competency in execution.
To Succeed at Managing Population Health, Adopt a Health Plan Mindset
To be successful with population health management, healthcare provider organizations should take a lesson from the strategies health plans use to improve the quality of population-level outcomes and performance around costs.
Optimizing a Health System’s Post-Acute Care Network
Health systems should develop strong networks of post-acute care providers as part of strategic efforts to deliver high-quality service across the care continuum, from wellness to end-of-life care.
3 Rural Hospital Challenges and Solutions in the Brave New World of Value
Artesia General Hospital is tackling common rural health challenges by developing new relationships with established regional providers and supporting clinician EHR concerns with an end-user feedback program.
Video: Denials and the Revenue Cycle
David Dyke, former vice president of product management for Change Healthcare, discusses how to reduce denials that disrupt the revenue cycle and how to keep up with changing rules around claims.