As the global market for drugs surpasses $1 trillion this year, growing payer scrutiny of value for money is just one of the factors that will drive disruptive change in the use of medicines over the next decade. The ten harbingers of change identified by the IMS Institute reflect the deep and rapid changes in the global health sector that are upending business models and forcing all stakeholders to re-evaluate their approaches to bringing healthcare to patients.
They point to a future of
Read More
Healthcare Policy Regulation & Reform | News, Analysis, Insights - HIT Consultant
Value-Based Health Care is Antithetic to Patient-Centered Care
Value-based health care is antithetic to patient-centered care. Value-based health care is also diametrically opposed to excellence, transparency and competitive markets. And value-based health care is a shrewdly selected and disingenuously applied misnomer. Value-based pricing is not a health-care innovation. Value-based pricing is why a plastic cup filled with tepid beer costs $8 at the ballpark, why a pack of gum costs $2.50 at the airport and why an Under Armour pair of socks costs $15.
Read More
Florida Blue and Baptist Health Care Corporation Form ACO
On Monday, Florida Blue and Baptist Health Care Corporation announce the execution of an ACO agreement that aims to improve the quality and efficiency of patient care in northwest Florida.
Through this arrangement, the organizations plan to improve the patient experience by enhancing the coordination of care between BHC and Florida Blue. Built around the Baptist Medical Group (BMG) network of physicians, the BHC accountable care organization will provide coordinated care to patients with the
Read More
M*Modal Unveils New ICD-10 Provider Coding Services
To help the healthcare industry address medical coder shortages in advance of the ICD-10 mandate, while preserving accurate revenue realization, M*Modal today announced the availability of comprehensive outpatient medical coding services. M*Modal’s technology-enabled services program combines coding experts with advanced cloud-based solutions to deliver quality results with fast-turn-around time, enabling organizations to offload high-volume outpatient coding, increase productivity and
Read More
The Squeeze Is On For U.S. Hospitals
Lots of financial scrambling, but the numbers still don’t add up
Is healthcare a business?
In the United States, the question has been asked time and again but never satisfactorily answered. By virtue of publically financed healthcare systems, the rest of the developed world has decided, to a greater or lesser extent, that medicine and healthcare are not pure businesses—that citizens have a right to care, even when they can’t pay all associated costs.
It’s starting to look like Americans
Read More
Up to $12B in Unnecessary Medical Imaging Is Wasted Annually
The United States wastes nearly $12 billion dollars on unnecessary medical imaging each year, according to a recent study by peer60 that explores new survey of 196 hospital leaders. Since 2012, the United States has spent at least $2.8 trillion on health care yearly. But according to all the research reports and statistical data out there, the extra funds are not doing us any favors; most other developed countries have significantly lower costs.
Read More
CMS Finally Announces 3 Weeks of ICD-10 End to End Testing
Today, the Centers for Medicare and Medicaid Services (CMS) announced three weeks of ICD-10 end to end testing that will allow providers the opportunity to ensure that their systems are able to accept ICD-10 claims. The three testing weeks are:
Read More
Look Beyond Coding: Optimizing Your HIM Department for Value
47 percent of hospital leaders plan to outsource their coding efforts by October 1, 2015, according to a recent survey of 650 hospital leaders by Black Book Rankings. Given the 21 percent national coder shortage by industry estimates, hospital CFOs must look beyond coding to optimize their HIM department operations to improve their overall efficiency.
Read More
WEDI Releases ICD-10 Readiness Survey To Help Assess Industry’s Progress Towards ICD-10
The Workgroup for Electronic Data Interchange (WEDI), a leading nonprofit authority on the use of health IT to create efficiencies in healthcare information exchange has announced the release of an ICD-10 readiness survey to determine how well the healthcare industry is progressing towards the Oct. 1, 2015 implementation deadline. The survey results will be evaluated and compiled into a report for the industry.
Providers, health plans, vendors and clearinghouses are invited to participate in
Read More
Report: 88% of 200+ Bed Hospitals Outsourcing Their CDI Realized Over $1M in Savings
88 percent of 200+ bed hospitals outsourcing their CDI currently report to have realized significant (over $1M) gains in appropriate revenue and proper reimbursements following the implementation of clinical documentation improvement program yet before ICD-10, according to the recently published Black Book survey. Additionally, 83 percent confirm quality improvements and increases in the case mix index. The survey of 650 hospital technology and physician leaders found outsourced coding and
Read More
