MACRA Implementation Faces Significant Participation Challenges

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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Hospitals and Value Based Healthcare Strategies

There is both uncertainty and emerging optimism for hospitals and value based healthcare.  Revenue cycle managers worry that this erodes hospital profits. But some hospital revenue cycle teams are embracing the new value model and finding solutions in analytics, end-to-end systems, and even telemedicine.

There is both uncertainty and emerging optimism for hospitals and value based healthcare.  Revenue cycle managers worry that this erodes hospital profits. But some hospital revenue cycle teams are embracing the new value….

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Hospital Revenue Cycle Management Solutions 2017

It’s challenging for CFOs to get a handle on RCM (revenue cycle management) solutions these days.  Successful hospital revenue cycle management solutions in 2017 focus on streamlining denial management, new efficient technologies, and a holistic approach.

It’s challenging for CFOs to get a handle on RCM (revenue cycle management) solutions these days.  Successful hospital revenue cycle management solutions in 2017 focus on streamlining denial management, new efficient technologies…

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Hospital Challenges & Solutions for Value-Based Payments

Industry surveys are showing that hospitals are behind CMS (Centers for Medicare & Medicaid Services) target dates for value-based payments implementation.  Only 23 percent of health systems expect to meet Medicare’s quality based payment target by 2019.  We found some helpful outlines, slides and tips for meeting this challenge.

Hospitals Adapt to Value-Based Payment Models

The struggle is real for hospitals during this transition to a value-based payment structure for healthcare. Due to the fact that most healthcare providers business model is still structured for fee-for-service revenues, to reduce a hospital’s amount of services rendered in an effort to provide higher quality service would cut into short-term profits. The question is then, how are providers reinventing care and translating short-term financial loss into long-term success?