Many consider a strong charge integrity program the cornerstone and heartbeat of the revenue cycle. Without an effective charge integrity program, health care providers run the risk of revenue leakage.
According to the Healthcare Financial Management Association, “one percent of net patient revenue is lost due to charge capture errors,” which can add up to multi-millions of dollars for health care organizations. Most providers have not considered or quantified the potential dollars lost when
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Value-Based Care| VBC-Related News, Analysis, Insights - HIT Consultant
Remote Enablement Adoption: The Key to Reshaping Patient Monitoring
The healthcare industry is facing significant pressures around costs and outcomes as it shifts to a value-based care model. To alleviate these concerns, hospitals are looking to technology to help. Over the years, technology has significantly evolved with more connectivity, advanced algorithms and introduction of machine learning and AI. These advancements have greatly improved efficiencies and outcomes in the healthcare industry, yet, along with these benefits, technology also brings a concern
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Signify Health Launches Social Determinants of Health Solution Signify Community
Signify Health, a provider of technology-enabled in-home care and complex care management services, has announced the launch of Signify Community, the first and only social determinants of health (SDOH) solution that ties social interventions to quality, satisfaction, and financial outcomes—including 30% reductions in readmissions and 46% reductions in post-acute care spend for high-utilizer safety net populations.Understanding SDoHSocial determinants of health (SDOH) are complex and
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Geisinger Appoints Dr. Jaewon Ryu as New CEO
Geisinger today announced that its Board of Directors has appointed Jaewon Ryu, M.D., J.D., as president and chief executive officer. Dr.
Ryu, who has served as interim president and CEO since November 2018 and
executive vice president and chief medical officer since September 2016,
becomes the seventh chief executive officer in Geisinger’s 104-year history. He
succeeds David T. Feinberg, M.D., MBA, who left Geisinger earlier this year to
assume a leadership role at Google.
“On
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CredSimple Raises $14M to Redefine The Provider Credentialing Process
CredSimple, the a NYC-based cloud-based healthcare credential verification organization, has raised $14 million in Series B funding led by Questa Capital. The round also included participation from existing investors including Windham Venture Partners who led the company's Series A round and Primary Ventures who co-led its seed investment.Outdated Credentialing ProcessTraditionally, credentialing has run on outdated systems, spreadsheets, and repetitive manual work that only increases work,
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Applied Analytics: Making the Dream of Cost-Controlled Population Health a Reality
Ninety percent of a solution is accurately defining the problem, however, in healthcare, much like nearly every other industry, more time and energy is spent on fixing perceived symptoms rather than identifying root caU.S.es.
Today we will explore the contribution that applied analytics has made and continues to make on bending the dramatic U.S. healthcare cost curve. To do this well we will first explore the primary cost drivers (i.e. root caU.S.es), as to why the U.S. spends more on care than
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Humana Integrates Real-Time Benefits Tool with Epic’s E-prescribing Workflow
Humana and Epic today announced an agreement to integrate Humana’s IntelligentRX real-time benefits tool directly into Epic’s e-prescribing workflow. Humana is the first national insurer to collaborate with Epic to bring together patients, providers and payers to power value-based care. The resulting integration will deliver real-time pharmacy data and access to patient’s medical history, which, in turn, will enable cost reduction, improved quality, and increased patient
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How Patients Suffer From The Worst Kept Secret in Health IT
Recently, articles in The Atlantic and Fortune highlighted a risk that plagues the healthcare system but is rarely talked about. The in-depth pieces uncover real-life patient stories resulting from mismatched and incorrect patient medical records. These tragic stories unfold in the articles and highlight scenarios that include permanent brain damage in a 5-year old; a cancer scare due to an incomplete radiological history; the missed diagnosis of a fatal brain aneurysm in a 47-year old woman;
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Bon Secours Mercy Health Sells $1.2B Majority Stake in Ensemble Health
Bon Secours Mercy Health sold their 51% majority stake in revenue cycle management company Ensemble Health to Golden Gate Capital, a private equity investment firm. Bon Secours is expected to receive $1.2 billion cash which will be reinvested in Bon Secours Mercy. As part of the agreement, Bon Secours Mercy Health will continue as a commercial partner to Ensemble, as well as remain a minority owner in the Company and continue to serve on the Company's board.Founded in 2014, Ensemble partners
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Cerner Launches Social Determinants Innovation Collaborative with Over 30 Health Systems
This week, Cerner announced the launch of the Social Determinants Innovation Collaborative (SDIC), a group of over 30 health systems that come together to share best practices and steps forward in addressing social determinants of health.The Impact of Social Determinants of Health DataThe CDC defines “social determinants of health” as the circumstances in which people are born, grow up, live, work, and age. Social, environmental and economic factors – such as transportation, housing, nutrition,
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