Is Hospital Pricing Transparency possible? -

When it comes to hospital pricing transparency that states and consumer advocates want to see, few hospitals are able to implement true procedure cost reporting.  Why is that, and will it ever happen?  We review the latest news.

When it comes to hospital pricing transparency that states and consumer advocates want to see, few hospitals are able to implement true procedure cost reporting.  Why is that, and will it ever happen?  We review...

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Healthcare Payer News -

Value paradigms, blockchains, and cloud services seem to be in the wind this year as the whole technology landscape shifts.   Add to this related policy changes from CMS to"increase choices and encourage stability".  Will lower premiums materialize and be a help to the hospital revenue cycle? 

Value paradigms, blockchains, and cloud services seem to be in the wind this year as the whole technology landscape shifts.   Add to this related policy changes from CMS to"increase choices and encourage...

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Patient Access -

From providing hospital pricing transparency to patient collections to revenue cycle management and patient access to information, hospitals are currently facing an array of access management challenges. Join us as we explore the current news and updates about patient access management.

From providing hospital pricing transparency to patient collections to revenue cycle management and patient access to information, hospitals are currently facing an array of access management challenges. Join us as we explore...

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Hospital Billing -

Hospital billing and claims management processes have a clear and direct impact on the financial health of an organization. However, oftentimes healthcare executives blame poor performance on external factors, rather than analyzing internally. We take a deeper look at this issue and how hospitals can improve their practices to increase revenue. 

Hospital billing and claims management processes have a clear and direct impact on the financial health of an organization. However, oftentimes healthcare executives blame poor performance on external factors, rather than...

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MACRA Implementation -

The Medicare Access and Chip Reauthorization Act (MACRA) legislation officially began its implementation on January 1, 2017. We are now a few months into the roll-out, and significant provider participation challenges are coming to the surface. We review these hurdles and what actions can be taken to improve physician participation in MACRA.

The Medicare Access and Chip Reauthorization Act (MACRA) legislation officially began its implementation on January 1, 2017. We are now a few months into the roll-out, and significant provider participation challenges are coming...

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One prediction has it that in healthcare "bundled payments will account for 17 percent of reimbursements in the next five years."  This as healthcare industry experts are continuing to call for mandatory implementation of bundled payments while CMS pushes back deadlines.  Go or no-go?  We take a look at the latest roundup of thoughts and advice.

One prediction has it that in healthcare "bundled payments will account for 17 percent of reimbursements in the next five years."  This as healthcare industry experts are continuing to call for mandatory implementation of bundled payments while CMS...

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Ambulatory Surgery Centers -

Ambulatory surgery centers (ASCs) continue to gain popularity as the costs for healthcare services steadily increase. Now, new questions arise as to what regulatory and legislative measures need to be taken to make these facilities more "hospital-like" in order to provide quality care, and to properly fund the operation of standalone outpatient clinics.

Ambulatory surgery centers (ASCs) continue to gain popularity as the costs for healthcare services steadily increase. Now, new questions arise as to what regulatory and legislative measures need to...

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Pay for Performance Models and Hospitals -

The government mandate is clear.  Benefits for patients are clear.  That leaves contract negotiations  for the move to the pay-for-performance model in healthcare.  It's all about patient experience and quality of care these days.  But when it comes to pay-for-performance, or "value-based reimbursement" models, some hospitals are embracing contracts related to the concept, and some are lagging behind.

The government mandate is clear.  Benefits for patients are clear.  That leaves contract negotiations  for the move to the pay-for-performance model in healthcare.  It's all about patient experience and quality of care...

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