Creating Value in the Medicaid Expansion: A Strategic Framework for AMCs
Academic medical centers that work with states to find mutually beneficial Medicaid strategies may find themselves well positioned in an era of value.
Using Physician Assistants Can Save Costs
Healthcare executives responding to a recent survey overwhelming agree that transforming costs is a “significant” or “very significant” need, but more than 50 percent have no cost reduction targets for the next five years or have a goal of 1-5 percent—a range that is far below what will be required to transform cost structures.
The Top 5 Drivers of Missing Charges
Staff engaged in revenue integrity and charge audits should carefully monitor five key categories that are most common reasons for missing charges.
ICD-10 Denials and Payment: Understanding the Relationship
Proactive, established processes to prevent denials and better manage appeals minimizes citation risks while promoting optimal, timely payment and compliance.
5 Ways to Build a Successful Work-From-Home Program
For hospitals, a well-executed work-from-home program can help improve staff morale and quality of life, as well as attract and retain high performers in competitive markets, especially those who have a long commute or may be moving out of the area.
Baylor Scott & White Revamps Patient Payment Processes, Saves $1.5M in Agency Fees
A Dallas-based health system increased POS collection by incorporating more up-front discussions on patients’ out-of-pocket costs and offering more payment options.
New Survey Finds Current Cost Transformation Initiatives Lack Required Urgency
Healthcare executives responding to a recent survey overwhelming agree that transforming costs is a “significant” or “very significant” need, but more than 50 percent have no cost reduction targets for the next five years or have a goal of 1-5 percent—a range that is far below what will be required to transform cost structures.
Using Artificial Intelligence to Reduce Long-Term Care Costs and Improve Patient Outcomes
A two-year study found that technological support for assisted living facility caregivers resulted in a 45 percent increase in patient aging in place, allowing for better quality of life for residents and cost savings of approximately $50,000 per patient per year.
Targeted Care Integration Can Help Drive Success Under Risk Contracts
Providers can avoid many of the missed opportunities associated with risk contracts by carefully reviewing the targeted patient population, narrowing the number of performance metrics, and selecting the right clinicians to participate.
Striving for Cost Optimization Instead of Cost Cutting
Cost optimization involves more than cutting a set percentage from the traditional targets, such as labor, real estate, or IT. Cost optimization is an enterprisewide effort, requiring leaders to reset their operational strategies and align with value-based payment models.