Narrow-Network Pioneers Share Tips on Payer-Provider Relationships
With the goal of lowering costs by at least 6 percent in the first year, Kaleida Health and BlueCross BlueShield of Western New York partnered with 500 physicians to offer Align—the first clinically integrated narrow-network health plan in their market.
“One of the principles that we adopted at the outset is that this relationship has to be a four-way win: a win for the physicians, a win for the health system, a win for the health plan, and a win for the employers and insured members,” says Donald Boyd, senior vice president of network development and operations at Kaleida.
Aurora Health Care Improves Imaging Equipment Utilization and Planning
Aurora Health Care, Milwaukee, Wis., has achieved $12.5 million in capital avoidance costs and saved $4.4 million in operating and equipment service costs since early 2012 by strategically investing in the right diagnostic imaging equipment in the right places. Aurora assembled a team to develop greater insight into how medical staff at each facility are using imaging equipment and to maximize equipment investments systemwide.
Turning ICD-10 Into a Clinical Priority
Kari Cornicelli, vice president and CFO, Sharp Grossmont Hospital, La Mesa, Calif., is spearheading the ICD-10 deployment across the entire Sharp Healthcare system. Accurate reimbursement is one obvious result of a successful ICD-10 conversion, but under Cornicelli’s leadership, Sharp is using the change to ICD-10 to enhance the capture of quality-related data, including Medicare core measures.
Seven Steps to Improving Verbal Communication Skills
A recently promoted clinical executive found that one of her new responsibilities was to give presentations to local groups on hospital service line improvements. Plagued by memory lapses while giving presentations in the past, the executive improved her delivery by using techniques to ease anxiety and managing notes and slides more effectively during presentations. She then was able to leverage her improved speaking skills and personal presence during a wide range of communications, including small group and one-on-one interactions.
Somnia: Bending the Healthcare Cost Curve Toward Improved Anesthesia Value
PMMC: Navigating Revenue Cycle Management Challenges as Value Based Purchasing Emerges
Burgess: Simplify the Business of Healthcare
J.P. Morgan: Managing Cybersecurity and Protecting Patient Data
Brian DiPietro, Managing Director, Commercial Bank Technology, JPMorgan Chase & Co., discusses the importance of evaluating your cybersecurity protocols to help prevent malicious data breaches.
TransUnion Healthcare: Smarter Revenue Cycle Solutions
Gerry McCarthy, President of TransUnion Healthcare, discusses industry trends contributing to higher bad debt and what to do about them. Gerry is responsible for the strategic direction of the healthcare business and expanding its footprint in the healthcare market overall. He has more than 20 years of experience in healthcare information technologies.
Deloitte: Creating Value with Effective Care Management
Scott Kolesar, principal and senior leader in Deloitte Consulting LLP's Value Based Care practice, and David Wennberg, MD, MPH, adjunct associate professor of The Dartmouth Institute and former chief executive officer, Northern New England Accountable Care Collaborative, discuss the challenges and competencies involved in creating a care management organization.
American Express: Streamlining Supplier Payments and Boosting Revenue
Andrew Jamison, vice president in the Global Corporate Payments division of American Express, discusses trends and opportunities in supplier payments.
Deloitte: Realizing the Potential of Your CDI Program
Suzanne Whitworth, director at Deloitte & Touche LLP, and LaVerne Romberger, MSN, CCM, CCDS, clinical operations manager-Seton Healthcare, share leading practices for maximizing the potential of clinical documentation programs under value-based care.
RevSpring: Customizing a Technology Platform to Drive Patient Payment
Martin Callahan, Senior Vice President, Healthcare Solutions, RevSpring, describes key industry trends affecting how patients engage with the revenue cycle and ways payment processes are changing as a result.