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Pete Heydt, President of PatientPay

Can Community Hospitals Weather the Financial Storm? What’s Needed

by Pete Heydt, President of PatientPay 09/20/2024 Leave a Comment

Can Community Hospitals Weather the Financial Storm? What’s Needed

A recent survey of community hospitals found nearly 70% rate their financial health as “average” or poor.” In this environment, community hospitals must take a fresh look at their approach to patient financial engagement to protect their ability to provide needed care. Hospital out-of-pocket collections declined sharply this year, down to nearly 48%, a Kodiak Solutions analysis shows. Moreover, more than half of write-offs — 53% — last year involved patients with some form of insurance,
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The Critical Importance of Payer-Provider Collaboration Goes Beyond Prior Authorization

by Michael Drescher, Vice President of Payer Strategy, Xsolis 09/19/2024 Leave a Comment

The Critical Importance of Payer-Provider Collaboration Goes Beyond Prior Authorization

The critical need to improve prior authorization processes might have reached its tipping point on Jan. 17. That’s when the Biden administration announced its new mandate — the CMS Interoperability and Prior Authorization Final Rule — designed to effectively speed up the process for Medicare Advantage patients, providers and health plans. Speed is only one of many inefficiencies surrounding prior authorization. And prior authorization cases are only one slice of the patient
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Overcoming the Financial Costs of SDoH: 3 Ways Providers Can Help

by Ryne Natzke, Chief Revenue Officer at TrustCommerce, a Sphere Company 09/18/2024 Leave a Comment

Social determinants of health (SDoH) factors often take a financial toll on patients, making it more difficult for them to afford and access the care that they often need to overcome some of those same SDoH issues.  While providers certainly can’t wave a magic wand and make their patients’ SDoH struggles disappear, they can take a few concrete steps to help these patients pay for important care.  Improved SDoH, Improved OutcomesSDoH are defined as “the conditions in the
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Did AI Cause HIPAA Fines to Double in a Single Year?

by Aidan Simister, Co-Founder and CEO of Lepide 09/17/2024 Leave a Comment

Did AI Cause HIPAA Fines to Double in a Single Year?

In 2023, HIPAA fines amounted to $4,176,500, which is a rise of over $2,000,000 in 2022. So yes, HIPAA fines have doubled. But why? Technology in healthcare has been a constant battle between progress and pain, and the relationship has grown increasingly complex over recent years. The Health Insurance Portability and Accountability Act (HIPAA) is one of the most well known regulatory frameworks in the healthcare industry, and it establishes safeguards for protecting sensitive patient
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Healthcare Analytics Adoption: 5 Tips for Healthcare Organizations

by Ryan Self, VP Advisory Services at Strata Decision Technology 09/17/2024 Leave a Comment

Healthcare Analytics Adoption: 5 Tips for Healthcare Organizations

Healthcare organizations have access to a wealth of data, yet 92% of healthcare professionals say organizations should do more to leverage financial and operational data to inform strategic decisions, according to a recent report. Integrating financial analytics into decision-making processes is increasingly vital as hospitals and health systems nationwide contend with high costs, narrow margins, shifts in patient demand, and other financial and operational pressures. Doing so, however,
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AI Agents in Healthcare: Retaining Talent, Improving Patient Care

by Dan Parsons, co-founder and Chief Marketing Officer at Thoughtful 09/16/2024 Leave a Comment

AI Agents in Healthcare: Retaining Talent, Improving Patient Care

The aging population is creating an unprecedented demand for healthcare services while the available healthcare workforce is declining. Meanwhile, the healthcare system continues to rely heavily on manual processes which have to date been powered by people. After a patient visit, a healthcare provider typically requires a full administration team to manage data across various systems, just to receive reimbursement
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Efficiently Sustainable: How Hospitals Can Create Operational Sustainability

by Connie Moser, Chief Executive Officer, Navenio 09/16/2024 Leave a Comment

Nurse Burnout: How Digital Transformation Can Be the Antidote

If any sector requires process improvement, it’s healthcare. There are well publicized NHS waiting list woes and A&E delays, but behind these figures are workforce and operational issues that create real stress on clinical staff and impacts patient satisfaction.  Nurses spend 10% of their time searching for equipment (according to a 2009 study) and sadly little has changed in more than a decade. Another study also revealed nurses claim that they experience “16-30% preventable wasted
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The CISO Connector: Bridging Business Goals, Operations, and Security in Healthcare

by Ferdinand Hamada, Managing Director and Pharma Life Sciences Industry Lead Partner at MorganFranklin Consulting 09/13/2024 Leave a Comment

The role of the Chief Information Security Officer (CISO) has evolved far beyond traditional cybersecurity responsibilities, especially in healthcare organizations. Today, a CISO must be positioned as a vital connector, aligning business goals, operational efficiency, and security needs. This strategic role is essential not only for breaking down siloes between security and operations teams, but also for fostering organization-wide adaptability, strategic thinking, and a holistic understanding
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Adopting Uniform National Provider Directory Standards Will Promote Interoperability

by Alex Young, Director of Technical Operations, DirectTrust 09/13/2024 Leave a Comment

Adopting Uniform National Provider Directory Standards Will Promote Interoperability

The concept of interoperable care centers on the ability of providers to share patient information. Still, providers continue to find navigating the exchange of patient data difficult. A 2019 data brief from the Office of the National Coordinator for Health Information Technology underscores the interoperability challenges that clinicians face: 85% find it challenging to exchange data with EHRs that aren’t theirs73% use multiple systems or portals to exchange data71% of referral partners
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Balancing User Experience and Technical Complexity in Surgical Software Design

by Neeraj Mainkar, VP of Software Engineering & Advanced Technology at Proprio 09/12/2024 Leave a Comment

Balancing User Experience and Technical Complexity in Surgical Software Design

In healthcare, the impact of well-designed medical devices reaches far beyond their physical form. When these devices are thoughtfully crafted with the end-user in mind, they become catalysts for efficiency and accuracy in diagnoses and treatments. A symbiosis of clear interfaces, intuitive controls, and an overall positive user experience not only propel healthcare professionals toward optimal care delivery but also alleviates the challenge of navigating cumbersome
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