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On February 10-12, Physicians, Payers, and Providers will discover strategies for implementing value-based payment arrangements with both private and public sector payers.
Stay up-to-date in a rapidly changing industry in New Orleans (Mar. 7-9) or Chicago/Rosemont (Apr. 20-22). Register early and save.
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MAP App is a web-based application that helps organizations improve revenue cycle performance based on industry-standard metrics called MAP Keys.
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Guidance for understanding and communicating about the price of health care.
Transformation toward value-based healthcare is reshaping the delivery of care, patient expectations, and payment structures.
Improve your revenue cycle performance through standard metrics, peer comparison, and successful practices.
sequestration and bad debt are combining to endanger the viability of an
increasing number of rural hospitals, according to a new analysis.
Feb. 5—Open enrollment in the government-run health insurance marketplaces for 2016 garnered 12.7 million plan selections, or 8.5 percent more than in 2015.
Feb. 3—Among the chief financial concerns for community hospital CEOs are issues involving the transition from volume to value and Medicaid payment, according to a new survey.
Feb. 1—Recently proposed changes in the way federal officials calculate financial targets for accountable care organizations (ACOs) could keep many organizations from dropping out of the program, according to one operator.
Jan. 29—Union representation surged along with healthcare worker hiring in 2015, according to new federal data.
Jan. 27—New analyses provide further evidence of the link between a hospital’s share of low-income patients and its likelihood of incurring Medicare penalties.
Jan. 26—Enrollment in government-run insurance marketplaces will reach 13 million in 2016, while Medicaid enrollment will reach 77 million, according to new projections from the Congressional Budget Office (CBO).
Jan. 25—Hospital uncompensated care costs (UCC) shrunk in 2014, the first decrease in 13 years, according to a new report.
Jan. 22—Enrollees in high-deductible health plans (HDHPs) were no more likely than those in traditional plans to price-shop among providers, according to new research.
Jan. 21—A draft bipartisan electronic health record (EHR) interoperability bill released in the Senate this week could affect other interoperability initiatives.
Jan. 20—The recently approved Louisiana Medicaid expansion was enabled by extensive financial backing from the state’s hospitals.
Jan. 19—A $1 million initiative to crowdsource a solution to the national patient identifier (NPI) challenge aims to break through longstanding political resistance on the issue.
Jan. 15—A full calendar quarter of revenue cycle data indicate that the healthcare industry has successfully completed its transition to the ICD-10 coding sets, according to the largest U.S. transaction-processing firm.
Jan. 13—In a sharp departure, the Centers for Medicare & Medicaid Services (CMS) is altering the focus of the federal electronic health record (EHR) incentive program.
Jan. 12—The Centers for Medicare & Medicaid Services (CMS) is moving to limit special enrollment periods (SEPs) following increasing insurer concerns about widespread abuse of the provision.
Jan. 11—Twenty-one organizations are the first to launch Next Generation accountable care organizations (ACOs), the Centers for Medicare & Medicaid Services (CMS) announced.
Jan. 7—Coming discharge-planning requirements are nearly 10 times as costly as federal estimates and should be delayed by up to two years, according to hospital advocates.
Jan. 6—Both for-profit and not-for-profit hospitals are expected to undertake more merger and acquisition (M&A) activity in 2016 following an aggressive 2015, according to ratings agencies.
Jan. 5—Hospitals and health systems are urged to apply for $157 million in funding that the U.S. Department of Health and Human Services (HHS) is offering to test the first federal pay model linking patients to community services.
Dec. 23—Providers could soon have expanded access to hardship exemptions from 2015 Stage 2 meaningful use requirements under the federal electronic health record (EHR) incentive program due to one of the final legislative acts Congress took before adjourning for the year.
Dec. 22—The federally operated health insurance marketplaces are well on their way to meeting their 2016 enrollment goal, but many of those enrollees may pay more than necessary.
Dec. 21—Congress’s investigative agency is urging expanded use of Medicare site-neutral payments to combat what it sees as a trend toward increasing costs after hospitals acquire physician practices.
Dec. 17—Hospitals confused about a new physician exception to the Medicare short stay rule should seek clarification from contractors until regulators issue further details, according to the Centers for Medicare & Medicaid Services (CMS).
Dec. 16—An end-of-the-year federal spending bill, known as the omnibus, and a huge tax package included $32 billion in tax cuts for insurers, among other provisions.
Dec. 15—Health insurer concerns are a key driver of Federal Trade Commission (FTC) actions against hospital deals, according to a senior agency official.
A leader from McKesson discusses how healthcare reform is forcing hospitals and health systems to take a different approach to capacity management and patient flow.
Patient financial engagement is more challenging than ever – and more critical. With patient responsibility as a percentage of revenue on the rise, providers have seen their billing-related costs and accounts receivable levels increase. If increasing collection yield and reducing costs are a priority for your organization, the metrics outlined in this presentation will provide the framework you need to understand what’s working and what’s not, in order to guide your overall patient financial engagement initiatives and optimize results.
Emad Rizk, MD, president and CEO of Accretive Health, discusses the uncertainty facing hospitals and the transitions affecting revenue cycle management.
No two patients are the same. Each has a very personal healthcare experience, and each has distinct financial needs and preferences that have an impact on how, when and if they chose to pay their healthcare bill. It’s no longer effective to apply static billing techniques to solve the complex challenge of collecting balances from patients. The need to tailor financial conversations and payment options to individual needs and preferences is critical. This presentation provides 10 recommendations that will not only help you improve payment performance through a more tailored approach, but take control of rising collection costs.
Jim Bohnsack, vice president, solution & corporate development for Conifer Health Solutions, explains how the company helps healthcare providers leverage data to deliver better outcomes while optimizing reimbursement for all payment arrangements.
This white paper, written by Apex Vice President of Solutions and Services, Carrie Romandine, discusses the importance of patient segmentation and messaging specifically related to the patient revenue cycle. Applying strategic messaging that is tailored to each patient type will not only better educate consumers on payment options specific to their billing needs, but it will maximize the amount collected before sending to collections. Further, targeted messaging should be applied across all points of patient interaction (i.e. point of service, customer service, patient statements) and analyzed regularly for maximized results.
Steve Scibetta, senior director of channel sales for Ontario Systems' healthcare product line, shares insights into effectively managing receivables.
This white paper, written by Apex President Patrick Maurer, discusses methods to increase patient adoption of online payments. Providers are now seeking ways to incrementally collect more payments due from patients as well as speeding up the rate of collections. This white paper shows why patient-centric approaches to online payment portals are important complements to traditional provider-centric approaches.
Elena White, vice president of risk, quality, and network solutions for Optum, discusses how healthcare providers can leverage data and technology as they enable risk in their organization.
Increased electronic engagement between healthcare providers and patients provides significant opportunities for improving revenue cycle metrics and encouraging patients to access EHRs. This article, written by Apex Founder and CEO Brian Kueppers, explores a number of strategies to create synergy between patient billing, online payment portals and electronic health record (EHR) software to realize a high ROI in speed to payment, patient satisfaction and portal adoption for meaningful use.
Somnia President and CEO Marc Koch, MD, MBA, explains how hospitals can drive transformative change in the perioperative experience for outstanding clinical and financial outcomes.
Faced with a rising tide of bad debt, a large Southeastern healthcare system was seeing a sharp decline in net patient revenues. The need to improve collections was dire. By integrating critical tools and processes, the health system was able to increase online payments and improve its financial position. Taking a holistic approach increased overall collection yield by 10% while costs came down because the number of statements sent to patients fell by 10%, which equated to a $1.3M annualized improvement in patient cash over a six-month period. This case study explains how.
PMMC President Roger L. Shaul discusses the effects of healthcare reform on revenue cycle management and how PMMC's products help clients adapt to a changing financial environment.
With the ICD10 deadline quickly approaching and daily responsibilities not slowing down, final preparations for October 1 require strategic prioritization and laser focus.
Greg Burgess, Founder and Chief Product Officer at Burgess Group shares insights and opportunities for payment integrity in the rapidly changing healthcare IT landscape.
Read how Gwinnett Medical Center provides clear connections to financial information, offers multiple payment options for patients, and gives onsite staff the ability to collect payments at multiple points throughout the care process.
Read how Orlando Health was able to perform deeper dives into claims data to help the health system see claim rejections more quickly–even on the front end–and reduce A/R days.
To maintain fiscal fitness and boost patient satisfaction and loyalty, healthcare providers need visibility into when and how much they will be paid–by whom–and the ability to better navigate obstacles to payment. They need payment clarity. This whitepaper illuminates this concept that is winning fans at forward-thinking hospitals.
Financial services staff are always looking for ways to improve the verification, billing and collections processes, and Munson Healthcare is no different. Read about how they streamlined the billing process to produce cleaner bills on the front end and helped financial services staff collect more than $1 million in additional upfront annual revenue in one year.
Effective revenue cycle management can be a challenge for any hospital, but for smaller providers it is even tougher. Read how Wallace Thomson identified unreimbursed procedures, streamlined claims management, and improved its ability to determine charity eligibility.
Before launching an energy-efficiency initiative, it’s important to build a solid business case and understand the funding options and potential incentives that are available. Healthcare leaders should consider taking the steps outlined in the whitepaper to ease the process of gaining approval, piloting, implementing, and supporting sustainability projects. You will find that investing in sustainability and energy efficiency helps hospitals add cash to their bottom line. Discover how hospitals and health systems have various options for funding energy-efficient and renewable-energy initiatives, depending on their current financial structure and strategy.
Health care is a dynamic mergers and acquisitions market with numerous hospitals and health systems contemplating or pursuing formal arrangements with other entities. These relationships often pose a strategic benefit, such as enhancing competencies across the continuum, facilitating economies of scale, or giving the participants a competitive advantage in a crowded market. Underpinning any profitable acquisition is a robust capital planning strategy that ensures an organization reserves sufficient funds and efficiently onboards partners that advance the enterprise mission and values.
The success of healthcare mergers, acquisitions, and other affiliations is predicated in part on available capital, and the need for and sources of funding are considerations present throughout the partnering process, from choosing a partner to evaluating an arrangement’s capital needs to selecting an integration model to finding the right money source to finance the deal. This whitepaper offers several strategies that health system leaders have used to assess and manage capital needs for their growing networks.
Copyright 2016, Healthcare Financial Management Association.
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