Nate Maslak, the co-founder/CEO of Ribbon Health
Price Transparency: In 2022, we saw CMS’s Transparency in Coverage rule go into effect, requiring non-hospital entities like health plans and providers to publish publicly available rates for care. In 2023, we’ll see this price transparency data become more mainstream as it finally makes its way into the hands of patients, empowering them to find the best care for them, reevaluate their care choices, and shop around for the best possible care
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Revenue Cycle| Healthcare Finance | Policy, News, Analysis, Insights - HIT Consultant
22 Executive Digital Health Predictions to Watch in 2023
Jon Bloom, MD, CEO and Co-founder of Podimetrics
From a digital health perspective, 2022 was a reset year for many and a serious reality check. We went from sky high growth to the sky is falling, and in 2023 I think this market correction movement will continue forward. To me, the biggest surprise of 2022 was that despite the market tanking, digital health companies continued to truck forward with huge deals. This includes massive acquisitions like Amazon and OneMedical, as well as deals like
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M&A: Alpine Investors Acquires RCM Services Provider Medusind
What You Should Know:
- Alpine Investors, a people-driven private equity fund, announced that it has acquired Medusind, a provider of revenue cycle management services to the healthcare industry.
- Jose Rivero, an Alpine CEO-in-Residence and part of the firm’s PeopleFirst program, has assumed the role of CEO of Medusind. Terms of the private transaction were not disclosed.
Medusind Background
Founded in 2002, Medusind provides deep expertise and powerful revenue cycle
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Midsize/Large Practice Management 2022: Which Vendors Stand Out in an Established Market?
What You Should Know:
- Most practice management (PM) solutions have a long tenure in the market, yet not all vendors successfully meet practices’ needs—which include strong technology and a vendor who acts as a partner in customer success. Historically, KLAS has split PM data by midsize (11–75 physicians) and large practices (76+ physicians); however, independent practices (clinics not owned by a hospital/health system) and owned practices (clinics owned by a hospital/health system) also
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Economic Certainty: Creating Revenue Cycles that Can Weather Any Storm
Staffing shortages, inflation and operational margin—it’s what keep financial leaders in today’s physician practices up at night. And while there is a perfect storm of challenges brewing that has the potential to wreak havoc on bottom-line performance, the reality is that provider organizations don’t have to settle for a posture of defense.
It is all too often the case that when unexpected challenges arise, today’s healthcare organizations find themselves reacting to circumstances. For
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Greenway Health Launches Greenway Engagement Model
What You Should Know:
- Greenway Health has launched its new client engagement program, the Greenway Engagement Model (GEM), designed to strengthen Greenway's trusted advisor relationship with clients and support a more successful healthcare technology journey for Greenway clients through intentional interaction and strategic support.
- The GEM program provides a dedicated client support team and creates a client feedback program aimed at improving the user
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Patient Financial Experience: 40% of Americans Confused by Medical Bills
What You Should Know:
- AKASA™, a developer of AI for healthcare operations, released findings from a new survey conducted on its behalf by YouGov.
- The survey findings highlight uncertainty looms among patients about what is included in a bill and if they can pay - two factors that drive the most confusion on medical bills. However, there are strategies healthcare organizations can take to be proactive and prevent billing surprises from trickling down to patients.
Understanding
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If You Are Not Using AI for Medical Coding, You Are Not Doing Your Job
A quick, efficient, and well-managed revenue cycle creates a solid foundation for a profitable medical organization. That’s why if you’re responsible for ensuring the health of your organization's revenue cycle and you are not using AI for medical coding, you are not doing your job.
Let me explain.
Some RCM professionals may see medical coding as a small portion of the revenue cycle; however, its reach is wide. The quality and accuracy of medical coding can either negatively or
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KLAS: Home-Based Post-Acute Care and Facility-Based Post-Acute Care Trends
What You Should Know:
- The homecare market has surged as healthcare organizations have sought to maintain quality patient care throughout the pandemic and fulfill requirements for value-based reimbursement, according to the latest KLAS report. Organizations are looking to expand their homecare offerings; however, the pandemic has exacerbated staffing shortages and decreased bandwidth, making operations—let alone growth—difficult. To help organizations understand how peers are approaching the
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How Fines Push Hospitals To Go Beyond CMS Price Transparency Rules
The gamble is over for hospitals that avoided complying with CMS price transparency mandates.
After a slow start since they were implemented more than 18 months ago, CMS has issued 350 warnings for noncompliance, 157 corrective action requests, and finally issued fines to two Georgia hospitals in June. It seems many more will be on the way.
The fines are significant. The first two hospitals faced fines of roughly $880,000 and $214,000. Noncompliant hospitals with 550 beds or
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