Payers place many resources—including time, personnel, and money—into maintaining provider networks for their plans and members. What is the intended goal after negotiating and contracting with networks? An accurate and comprehensive provider directory containing in-network clinicians and specialists that members can effectively use to “find a doctor” when they need care.
In reality, though, this is often an elusive goal. Members frequently find themselves haunted by ‘ghost
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Health IT | News, Analysis, Insights - HIT Consultant
91% of Caregivers View Patient Relationships as Critical to Job Satisfaction
What You Should Know:
- HHAeXchange, a provider of homecare management solutions, released findings from its 2024 Homecare Insights Survey, highlighting the critical role of caregivers in the industry.
- The survey, conducted among over 3,900 caregivers, provides valuable insights into caregiver motivations, challenges, and opportunities for improvement.
Caregiver Satisfaction Drives Homecare Industry
The survey underscores the growing importance of homecare as a
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Guidehealth Secures $14M for AI-Powered Value-Based Care
What You Should Know:
- Guidehealth, an AI-powered healthcare services provider raises $14M in seed funding led by Memorial Hermann Health System, with participation from healthcare entrepreneur Sidd Pagadipati and other industry leaders.
- The funding will accelerate Guidehealth’s mission to improve health outcomes and increase access to care through value-based care (VBC) models. The company’s AI-driven platform and clinical support services help health systems and clinically
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HPS/PayMedix Acquires TempoPay to Simply Healthcare Payments
What You Should Know:
- HPS/PayMedix, a leading provider of healthcare financing solutions, announced the acquisition of TempoPay, an innovative payments platform designed to help employees manage healthcare costs. Financial details of the acquisition were not disclosed.
- The acquisition of TempoPay is a significant step forward in addressing the healthcare affordability crisis. By providing employees with the financial tools and support they need, HPS/PayMedix is helping to
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Orlando Health Acquires Brookwood Baptist Health for $910M
What You Should Know:
- Tenet Healthcare Corporation has entered into a definitive agreement to sell its majority ownership stake in Brookwood Baptist Health to Orlando Health for approximately $910M in cash, resulting in after-tax proceeds of around $790M for Tenet.
- The sale includes five hospitals – Brookwood Baptist Medical Center, Princeton Baptist Medical Center, Walker Baptist Medical Center, Shelby Baptist Medical Center, and Citizens Baptist Medical Center – along with
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Cyberattacks: A Recipe for Nurse Burnout and Compromised Patient Care
Nurses, the backbone of the medical field, have been facing a critical threat: burnout. A recent survey by the National Council of State Boards of Nursing found that nurses are under immense strain due to high workloads and stress, with a significant portion of nurses (between 45% and 56%) feeling emotionally drained, exhausted, and burned out regularly. A worrying 29% of nurses reported feeling like they're at their wits’ end several times a week or even daily. Characterized by emotional
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Study: Private Equity Acquisitions Linked to Decline in Hospital Assets
What You Should Know:
- A new study has revealed a concerning trend in the healthcare industry: a significant decline in hospital assets following private equity acquisitions. The research, published in JAMA, analyzed data from 197 acquired hospitals and found a 24% decrease in total capital assets compared to a 9.2% increase in control hospitals over a two-year period post-acquisition. This decline is attributed to the sale of hospital assets, including land and buildings, to repay
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Lab Staff Burnout and Understaffing Threaten Patient Care, Survey Reveals
What You Should Know:
- A new survey by Siemens Healthineers and The Harris Poll sheds light on the pressing issue of understaffing and burnout within the clinical laboratory workforce. The study underscores the critical role of laboratory professionals in patient care and the urgent need for solutions to address these challenges.
- The survey was conducted by Siemens Healthineers and The Harris Poll between June 17 and 28, 2024, and included 408 U.S. laboratory professionals.
Lab
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CMS Finalizes Medicare Payment Rule for Hospitals, Focuses on Equity, Safety, and Innovation
What You Should Know:
- The U.S. Department of Health and Human Services (HHS) announced the final rule for Medicare payments and policies for inpatient hospitals and long-term care hospitals (LTCHs) for fiscal year (FY) 2025.
- The FY 2025 IPPS and LTCH PPS rule focuses on improving health outcomes, addressing social determinants of health, strengthening emergency preparedness, and promoting value-based care.
Increased Payments and Addressing Social Determinants of
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7 Strategies to Modernize The Healthcare Payment Ecosystem
Submitting and paying claims is the financial underpinning of the U.S. healthcare system, a system plagued with inefficiencies that create disconnects between health plans and health systems. As a result, revenue cycles and claims systems are clogged, the patient and member experience is disrupted, care quality is suffering, and innovations in care delivery are constrained.
The solution? Modernization.
Modernizing the healthcare ecosystem reduces wasteful administrative
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