It’s said that you have only one chance to make a good first impression. In today’s healthcare environment, those words couldn’t ring truer. Providers need information to appropriately bill for services, and patients don't want long wait times. Make your registration process work for you and your patients, increasing efficiency without sacrificing accuracy with our 15 Minute Milestones.
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Organizations that rely exclusively on hard numbers to measure ACO success don’t see the complete picture. The winning formula for one health system — that operates ACOs covering nearly 1 million patients in 80 percent of its markets — includes improving quality, increasing collaboration and establishing innovative relationships.
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To achieve the Triple Aim of healthier populations, improved patient experience and lower costs of care, AHC sought an innovative approach to population health management through a partnership with Conifer Health. AHC also wanted to create and continuously develop an overall culture of well-being and good health that started with health plan members and their families.
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To manage the process for taking on risk, one community hospital contracted with Conifer Health to manage the risk pool and operate the utilization management and claims adjudication functions for the risk-bearing organization. Through Conifer Health’s ongoing management, the hospital has improved cash flow, significantly reduced outstanding accounts receivable (A/R), and increased opportunities to get paid upfront for services.
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The saying is true: proper preparation prevents poor performance. It's no different when it comes to the effective negotiation of value-based contracts, which requires unique skills and capabilities in order to tie reimbursement to performance. Learn about the five key areas to help position your organization for success in negotiating risk-based contracts.
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Many healthcare organizations work the back-end denials management process without ever taking time to understand the root cause. Countless hours are spent appealing denials, but little attention is focused on fixing and preventing the issue. Often, the cause of denials can be achieved through process improvements - and sometimes the solution can be a relatively simple fix.
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Many ACOs have taken on increased risk and improved their clinical and financial performance. But with various complex risk models currently in place and on the horizon, there's no one-size-fits-all approach that guides ACO executives in taking on the right amount of risk. The right partner can help.
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When University Health was faced with a 135-day privatization deadline and challenges in operationalizing and enhancing revenue cycle operations, the hospital emerged with a sustainable revenue cycle infrastructure and a significant increase in monthly cash collections.
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Despite all the data available today, most provider organizations are not routinely tracking some key metrics critical to supporting value-driven Patient Access. These important indicators can help revenue cycle leaders better assess their Patient Access operations, enhance the patient experience and improve financial results.
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Becker's Hospital Review caught up with finance leaders from two distinct healthcare organizations - Moffitt Cancer Center (Florida) and Medical Center Health System/MCH ProCare (Texas) - to discuss how they are specifically approaching the shift towards value-based care and how this move is redefining the hospital-physician relationship.
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