reimbursement

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By: IBM Watson Health     Published Date: Nov 30, 2015
Government and commercial payers are transitioning from encounter-based reimbursement to new payment models that reward coordination of care and population health management.
Tags : ibm, watson health, phytel, orlando health, clinical, enterprise applications, data management
     IBM Watson Health
By: IBM Watson Health     Published Date: Nov 30, 2015
The transition from fee-for-service to value-based reimbursement has been a challenge for many providers. Financial incentives that favored high service volumes must now be re-focused to accommodate alternative models such as bundled payments and accountable care organizations (ACOs).
Tags : ibm, watson health, phytel, population, health management, accountable care organizations, finances, value-based
     IBM Watson Health
By: CareCloud     Published Date: Mar 20, 2015
This white paper outlines three key reasons that outsourcing could be the right move for your medical practice. Download to find out more about the potential financial and efficiency gains for your practice. You’ll learn: • How to calculate potential cost savings • Where up to 65% of practices have a weak revenue cycle spot, according to MGMA • Why outsourcing before October 2015 makes sense Bonus: A handy checklist to help you quickly figure out if now is the right time for your practice to outsource.
Tags : carecloud, regulatory burdens, outsourcing, declining reimbursements, administrative burdens, it support, medical billing
     CareCloud
By: Care360 by Quest Diagnostics     Published Date: Sep 01, 2015
This white paper discusses key strategies for Revenue Cycle Management (RCM) success in your medical practice.
Tags : revenue cycle management, rcm, care360, regulations, reimbursement, medical practice
     Care360 by Quest Diagnostics
By: GE Healthcare     Published Date: Aug 27, 2015
Sharp is leading the way in the shift to shared risk. In this journey, they manage to the right financial metrics while still delivering appropriate care to their patient population. Watch the video to learn how GE Healthcare is helping Sharp make a difference.
Tags : centricity business, financial management, revenue cycle, hospital billing, hospital finance, patient billing, rcm, episodic payment
     GE Healthcare
By: athenahealth     Published Date: Jun 08, 2015
No matter how these issues are resolved, the new health care reality demands that providers deliver quality care while controlling costs. Use these six steps to bring success to your organization in the new reimbursement landscape: 1. Understand Your Costs 2. Reduce Out-Migration from Your Network 3. Maximize Pay-for-Performance Reimbursement 4. Identify Early Opportunities for Utilization Reductions 5. Support Chronic Care and Disease Management 6. Predict Who Will Develop Issues
Tags : aco, accountable care organization, out-migration, pay-for-performance reimbursement
     athenahealth
By: Allscripts     Published Date: Oct 30, 2015
Download our ebook today to discover how Allscripts Value-based Care Services can help your practice adjust to changing reimbursement trends.
Tags : medicare, value-based reimbursement models, revenue growth, value-based care, allscripts, community care solutions, chronic care management solutions, analytics
     Allscripts
By: Allscripts     Published Date: Jun 05, 2013
This paper explores the unique perspectives of both types of organizations. The participants include two of the original 32 Pioneer ACOs; the nation’s largest commercial ACO; a major IDN that is pursuing its own ACO pathway; a large stand-alone hospital that has yet to take the formal step of creating an ACO but is experimenting with the model; and a large, independent, multispecialty physician group that is wary of stepping into the ACO waters.
Tags : aco, idn, accountable care organization, medicare, reimbursement
     Allscripts
By: Oracle HCM Cloud     Published Date: May 25, 2017
Today’s healthcare organizations struggle to compete for skilled talent and market share admist increasing competition, industry consolidation, shrinking reimbursements, and the switch from volume to value-based care. Follow these recommendations to create an agile workforce and improve patient and member satisfcation, while keeping costs in check.
Tags : 
     Oracle HCM Cloud
By: Zane Benefits     Published Date: Aug 03, 2015
This is a complete guide on individual health insurance reimbursement for small business owners and HR.
Tags : small business, zane benefits, controllable cost, individual health insurance, small business owners
     Zane Benefits
By: PwC     Published Date: May 14, 2019
Coding errors are common--and costly. There were $2.91B in OIG investigative recoveries for FY18 alone. Hospitals need to catch coding errors prior to billing, or risk heavy fines, legal issues and even a damaged reputation. What if you could catch coding errors prior to billing? PwC SMART increases the efficiency and effectiveness of inpatient and outpatient coding quality evaluation process, and enables a mechanism for quality and compliance review. See how SMART led to $1.8M in net reimbursement impact for a network of independent healthcare providers in New Jersey, and learn more about the inpatient and outpatient solutions.
Tags : 
     PwC
By: athenahealth     Published Date: Sep 26, 2019
Telehealth lets practices quickly provide consultations, assessments, and test results, while saving patients a trip to the office. Now, the Centers for Medicare and Medicaid Services (CMS) plan to significantly expand reimbursement rules for telemedicine. Find out which additional reimbursements have been proposed, and see what healthcare professionals say about the changes, in this in-depth article from athenaInsight.
Tags : 
     athenahealth
By: GE Healthcare     Published Date: Aug 27, 2015
The shift to value-based reimbursement (VBR) entails more financial risk for providers. Successful management of the transition to VBR can only be achieved when healthcare organizations are clinically and financially integrated to ensure tight care coordination and efficient resource utilization. That level of integration requires the aid of a robust IT infrastructure to support the enterprise. This whitepaper offers the opportunity to learn about new tools for healthcare providers to manage financial challenges associated with value-based reimbursement
Tags : centricity business, financial management, revenue cycle, hospital billing, hospital finance, patient billing rcm, episodic payment, accountable care
     GE Healthcare
By: Cognizant     Published Date: Oct 23, 2018
Value-based care is the predominant model for enabling the healthcare industry to control costs and deliver better information to consumers. The basic idea is that reimbursements are based on the quality of the outcome of a procedure, episode of care, use of a device or therapy. Under this model, life sciences companies are rewarded for improving health outcomes and/or reducing the costs to achieve those outcomes. It requires life sciences companies to rethink many of their processes, from R&D through the commercial phase. Navigating those momentous shifts requires that life sciences companies embrace a range of digital technologies which will enable a holistic approach to value-based care. This white paper will examine the drive for value-based care, its impact on life sciences companies and how technology platforms can address the challenges the industry is facing.
Tags : cognizant, life sciences, digital
     Cognizant
By: athenahealth     Published Date: Jun 08, 2015
This white paper explores how to partner for population health in an environment of shifting reimbursements.
Tags : shifting reimbursements, population health, costs, payment models
     athenahealth
By: Medidata     Published Date: Nov 10, 2017
Founded by physicians committed to advancing medical science, Worldwide Clinical Trials is out to change how the world experiences CROs. From early phase and bioanalytical sciences through late phase and post-approval, they provide full-service drug development services across a range of therapeutic areas, including neuroscience, cardiovascular diseases, immune-mediated inflammatory disorders (IMID) and rare diseases.
Tags : 
     Medidata
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