Archive for the ‘Healthcare Administration’ Category

Infographic: Your Pre-Admissions Path: Old & Rocky or New & Smooth?

August 21st, 2019 by Melanie Matthews

As the healthcare world grows increasingly interconnected, new regulations like Patient Driven Payment Model mandate patient-centered care, and data replaces rapport as the foundation of referral relationships—facilities’ care coordination processes are becoming more pivotal than ever. From beating out the competition for acute referrals to paving the way for better clinical outcomes, a modern method of managing care coordination unlocks benefits that extend far beyond the pre-admissions episode, according to a new infographic by Cantata Health.

The infographic looks at a traditional versus a modern care coordination process and highlights the potential results of each option.

The release of the Centers for Medicare and Medicaid Services’ care coordination toolkit provides further evidence that care coordination is an integral part of the current healthcare delivery landscape. Whether part of the primary care office, emergency department or health plan, care coordinators are having a positive impact on both the clinical and financial outcomes for healthcare organizations.

2019 Healthcare Benchmarks: Care Coordination is a comprehensive analysis by the Healthcare Intelligence Network of care coordination settings, strategies, targeted populations, supporting technologies, results and ROI, based on responses from over 75 healthcare organizations to the May 2019 Care Coordination survey.

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Infographic: Top 5 Hospital Performance Metrics

August 16th, 2019 by Melanie Matthews

Hospital performance assessment is complicated, and parsing through the vast quantity of financial, clinical, and quality data can be overwhelming. There are hundreds of metrics for administrators to track, and every hospital has unique performance goals. While some prioritize financial performance, others may seek to improve clinical outcomes. Effective performance tracking and data analysis can strengthen a facility’s financial performance, improve clinical outcomes, and raise quality scores, according to a new infographic by Definitive Healthcare, LLC.

The infographic outlines five essential hospital performance metrics.

Profiting from Population Health Revenue in an ACO: Framework for Medicare Shared Savings and MIPS SuccessA laser focus on population health interventions and processes can generate immediate revenue streams for fledgling accountable care organizations that support the hard work of creating a sustainable ACO business model. This population health priority has proven a lucrative strategy for Caravan Health, whose 23 ACO clients saved more than $26 million across approximately 250,000 covered lives in 2016 under the Medicare Shared Savings Program (MSSP).

Profiting from Population Health Revenue in an ACO: Framework for Medicare Shared Savings and MIPS Success examines Caravan Health’s population health-focused approach for ACOs and its potential for positioning ACOs for success under MSSP and MACRA’s Merit-based Incentive Payment System (MIPS).

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Infographic: How Nursing Shortages Can Impact Your Healthcare Bottom Line

August 7th, 2019 by Melanie Matthews

The healthcare industry is one of the fastest growing sectors in the United States, currently employing
over 18 million workers; nursing professionals make up the largest part of this sector, according to a new infographic by Rave Mobile Safety.

The infographic examines the demand for nurses and how the nursing shortages will impact the healthcare bottom line.

Improving the Patient Experience: Engaging Front-line Staff for a System-Wide Action PlanUnityPoint Health has moved from a siloed approach to improving the patient experience at each of its locations to a system-wide approach that encompasses a consistent, baseline experience while still allowing for each institution to address its specific needs. Armed with data from its Press Ganey and CAHPS ® Hospital Survey scores, UnityPoint’s patient experience team developed a front-line staff-driven improvement action plan.

During Improving the Patient Experience: Engaging Front-line Staff for a System-Wide Action Plan a 45-minute webinar, now available for replay, Paige Moore, director, patient experience at UnityPoint Health—Des Moines, shares how the organization switched from a top-down, leadership-driven patient experience improvement approach to one that engages front-line staff to own the process.

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Infographic: Is Your Physician Practice Positioned for Long-term Financial Health?

August 2nd, 2019 by Melanie Matthews

Staying financially healthy in a challenging healthcare regulatory environment means knowing how to get paid for healthcare services—from handling claim denials and underpayments to managing claim reworking, according to a new infographic by Greenway Health.

The infographic examines healthcare billing practices and secrets to financial success.

2018 Healthcare Benchmarks: Telehealth & Remote Patient MonitoringArtificial intelligence. Automation. Blockchain. Robotics.

Once the domain of science fiction, these telehealth technologies have begun to transform the fabric of healthcare delivery systems. As further proof of telehealth’s explosive growth, the use of wearable health-tracking devices and remote patient monitoring has proliferated, and the Centers for Medicare and Medicaid Services (CMS) has added several new provider telehealth billing codes for calendar year 2018.

2018 Healthcare Benchmarks: Telehealth & Remote Patient Monitoring delivers the latest actionable telehealth and remote patient monitoring metrics on tools, applications, challenges, successes and ROI from healthcare organizations across the care spectrum. This 60-page report, now in its fifth edition, documents benchmarks on current and planned telehealth and remote patient monitoring initiatives as well as the use of emerging technologies in the healthcare space.

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Infographic: 3 Ways to Maximize Medical Billing Collection Rates

July 19th, 2019 by Melanie Matthews

Medical billing complexities account for several hundred billion dollars’ worth of lost revenue to U.S. healthcare providers each year, according to a BMC Health Services Research study highlighted in a new infographic by SutterHealthPlus.

The infographic provides three operational best practices that can significantly improve medical billing collection rates.

Medicare Chronic Care Management Billing: Evidence-Based Workflows to Maximize CCM RevenueSince the January 2015 rollout by CMS of new chronic care management (CCM) codes, many physician practices have been slow to engage in CCM.

Arcturus Healthcare, however, rapidly grasped the potential of CCM to improve patient outcomes while generating care coordination revenue, estimating it could earn up to $100,000 monthly for qualified patients treated in its four physician practices—or $1 million a year.

Medicare Chronic Care Management Billing: Evidence-Based Workflows to Maximize CCM Revenue traces the incorporation of CCM into Arcturus Healthcare’s existing care management efforts for high-risk patients, as well as the bonus that resulted from CCM code adoption: increased engagement and improved relationships with CCM patients.

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Infographic: The Real Impact of Healthcare Supply Chain Inefficiencies

May 15th, 2019 by Melanie Matthews

Healthcare supply chain inefficiencies have the potential to negatively impact clinician satisfaction, productivity and patient care. However, there are opportunities for healthcare distributors to support positive outcomes in the supply chain process, according to a new infographic by Cardinal Health.

The infographic looks at these impacts as well as how the supply chain can be re-designed with clinicians in mind.

2019 Healthcare Benchmarks: Reducing Avoidable Healthcare UtilizationMedicaid expansion programs, newly covered individuals under healthcare insurance exchanges, the rise of big data, and shifts in healthcare delivery models have influenced emergency department and hospital utilization.

2019 Healthcare Benchmarks: Reducing Avoidable Healthcare Utilization is a comprehensive analysis by the Healthcare Intelligence Network of how healthcare organizations define and address avoidable healthcare utilization. The report captures key actionable metrics on reducing avoidable healthcare utilization initiatives, challenges, case studies and innovative programming.

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Infographic: Is Your Practice Collecting All of Its Earned Revenue?

April 29th, 2019 by Melanie Matthews

U.S. physician practices lose $125 billion every year due to poor billing practices, according to a new infographic by AllMeds. Unfortunately, many healthcare providers aren’t even aware that they’re leaving money on the table or of the steps they can take to maximize collections.

The infographic provides two key steps to improve revenue cycle management.

Medicare Chronic Care Management Billing: Evidence-Based Workflows to Maximize CCM RevenueSince the January 2015 rollout by CMS of new chronic care management (CCM) codes, many physician practices have been slow to engage in CCM.

Arcturus Healthcare, however, rapidly grasped the potential of CCM to improve patient outcomes while generating care coordination revenue, estimating it could earn up to $100,000 monthly for qualified patients treated in its four physician practices—or $1 million a year.

Medicare Chronic Care Management Billing: Evidence-Based Workflows to Maximize CCM Revenue traces the incorporation of CCM into Arcturus Healthcare’s existing care management efforts for high-risk patients, as well as the bonus that resulted from CCM code adoption: increased engagement and improved relationships with CCM patients.

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Infographic: The Financial Impact of Value-Based Healthcare Contracts

April 26th, 2019 by Melanie Matthews

As health systems evaluate their ability to transition from fee-for-service medicine toward value-based care, they must understand the financial impact of their strategy, according to a new infographic by Lumeris.

The infographic examines key decision points and outcomes for a health system.

11 Profitable Value-Based Reimbursement Models: Lessons from Early AdoptersCMS’s ambitious agenda for moving Medicare into alternative payment models is driving the U.S. healthcare system toward greater value-based purchasing at a furious rate. Private payors also have pledged to continue to shift payments away from fee for service and into alternative payment models such as accountable care organizations (ACOs). Fortunately, many healthcare organizations are already exploring value-based payments—often a single innovation at a time—testing models that reward providers for meeting Triple Aim goals of improving patient experience and population health while reducing healthcare’s per capita cost.

11 Profitable Value-Based Reimbursement Models: Lessons from Early Adopters encapsulates nearly a dozen such approaches, from Bon Secours’ building of a business case for its multidisciplinary care team to the John C. Lincoln ACO’s deep dive into data analytics to identify and manage the care of high-risk, high-cost ‘VIP’ patients to ‘beat the benchmark’ to WellPoint’s engagement of specialists in care coordination.

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Infographic: 4 Drivers of a Sustainable Physician Workforce

April 3rd, 2019 by Melanie Matthews

The must sustainable and successful healthcare organizations employ physicians who, by and large, have “high” capability ratings—meaning they feel they have the tools, resources and latitude they need to work at the top of their license and provide high-quality care to their patients, according to a new infographic by athenahealth inc.

The infographic provides strategies to foster and support physician effectiveness.

Profiting from Population Health Revenue in an ACO: Framework for Medicare Shared Savings and MIPS SuccessA laser focus on population health interventions and processes can generate immediate revenue streams for fledgling accountable care organizations that support the hard work of creating a sustainable ACO business model. This population health priority has proven a lucrative strategy for Caravan Health, whose 23 ACO clients saved more than $26 million across approximately 250,000 covered lives in 2016 under the Medicare Shared Savings Program (MSSP).

Profiting from Population Health Revenue in an ACO: Framework for Medicare Shared Savings and MIPS Success examines Caravan Health’s population health-focused approach for ACOs and its potential for positioning ACOs for success under MSSP and MACRA’s Merit-based Incentive Payment System (MIPS).

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Infographic: Strategies for Ensuring Post Merger & Acquisition Success in the Healthcare Industry

March 20th, 2019 by Melanie Matthews

Increasing competition, lower margins and a need for scale are continuing to drive hospital merger and acquisition (M&A) activity, according to a new infographic by Agiliti.

The infographic looks at three ways hospitals can improve post M&A integrations and outcomes.

Profiting from Population Health Revenue in an ACO: Framework for Medicare Shared Savings and MIPS SuccessA laser focus on population health interventions and processes can generate immediate revenue streams for fledgling accountable care organizations that support the hard work of creating a sustainable ACO business model. This population health priority has proven a lucrative strategy for Caravan Health, whose 23 ACO clients saved more than $26 million across approximately 250,000 covered lives in 2016 under the Medicare Shared Savings Program (MSSP).

Profiting from Population Health Revenue in an ACO: Framework for Medicare Shared Savings and MIPS Success examines Caravan Health’s population health-focused approach for ACOs and its potential for positioning ACOs for success under MSSP and MACRA’s Merit-based Incentive Payment System (MIPS).

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