Digital Identity in Healthcare: Building on the Banking Model
Gus Malezis describes lessons healthcare organizations can learn from the banking industry.
Should utilization review report to patient care or revenue cycle?
Utilization review should work as part of a productive whole, alongside many other areas, says a former Cleveland Clinic finance executive. The function can report to finance, administration, operations, and even patient experience.
Ask the Experts: Denials Management Statistics
What metrics do CFOs consider important to support decision-making with respect to their denials management programs and health plan contracting?
How Providers and Insurers can Collaborate to Manage the Cost of Genetic Testing
The cost of genetic testing and therapy, often a deterrent to a potentially beneficial treatment, can be made more manageable if providers and insurers work together.
How to Grow High-Value Service Lines Effectively
Growing top-performing service lines can be an effective strategy for healthcare organizations to advance their business objectives.
On Costs, Congress Eyes Transparency, Billing, Consolidation
July 2—Members of Congress say they are increasingly concerned about rising healthcare costs and are looking at policies around transparency, balance billing, and provider consolidation.
The Shift to Outpatient TKA—What’s the Big Deal?
Hospitals should prepare for the impending revenue impact of a shift of total knee arthroplasty (TKA) procedures from inpatient to outpatient settings by developing strategies to retain market share for TKA.
3 Keys to Defending a Healthcare Organization’s Margins
As the healthcare industry transitions from volume-based to value-based payment, healthcare organizations must establish priorities and prepare to assume risk in select areas of focus. To do this, providers must develop an understanding of the precise costs for individual encounters, procedures, and episodes of care, and hone in on specific cost drivers.
Optimizing Care Delivery Through Perioperative Value-Based Care
A focus on value during perioperative care can result in better financial and clinical performance.
The Golden Hour for Member Engagement: Onboarding and Pre-Boarding for Lower Costs and Improved Healthcare Consumer Experience
Cynthia Nustad describes how commercial health plans can improve consumer communication.