Healthcare Operations Management News

Improving PHI Disclosure Efficiency in the Business Office

With pressure on providers to prove medical necessity and validate code assignments, business office staff must provide more patient information, such as medical records, putting greater demands on their time. Yale New Haven Health addressed this problem by implementing a centralized protected health information (PHI) disclosure management system.

By Kim Charland, BA, RHIT, CCS May 14, 2019

Testing a model for better coordination of care in the community

Providers are using analytics to drive partnerships with community service organizations to address social determinants of health.

By Laura Ramos Hegwer May 13, 2019

Why one insurer is expanding a mental health integration pilot statewide

Early indications of savings and positive provider feedback led one Blue Cross plan to expand statewide a behavioral care telehealth program.

By Rich Daly May 8, 2019

3 Best Practices to Reduce the Cost of Healthcare Miscommunication

Will O’Connor discusses the top causes of miscommunication among medical staff and ways to avoid them to ensure patient safety and fewer malpractice claims. 

By Will O'Connor, MD May 7, 2019

Insurers, Policymakers Target ED Use Reduction

Insurance executives and governors are taking new steps to reduce inappropriate use of emergency departments by plan enrollees.

By Rich Daly May 6, 2019

CMS Report Reveals Interesting Statistics on Provider Participation in Quality Payment Program

CMS inaugural report: Most clinicians avoid a negative payment adjustment under MIPS.

By Chad Mulvany, FHFMA May 6, 2019

UVM Health Network: Building an Industry-Leading Supply Chain

This case study tells how one healthcare organization has used data monetization strategies to optimize its supply chain operations.

By HFMA February 26, 2019

UPMC: Expanding Organization Reach via Telemedicine and Virtual Care

This case study shows how one integrated delivery system has effectively leveraged innovation technology and data governance in the area of telemedicine to monetize its data assets.

By HFMA February 26, 2019

Allina Health: Reducing Variations in Clinical Care

This case study shows how one health system used its data assets to identify opportunities for reducing variations in clinical care.

By HFMA February 26, 2019

Telehealth Use Among Medicare Patients Limited but Growing

Growth in telehealth use among Medicare beneficiaries is occurring in patients 85 years and older and living in rural areas.

By HFMA February 21, 2019
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