In October, MedeAnalytics is recognizing Breast Cancer Awareness Month, a worldwide campaign to increase awareness, education and research about breast health and the importance of early detection. Breast cancer is the second most common kind of cancer in women, and one in eight women will get breast cancer in their life time. Through annual screenings… Read more »

Every patient has a plethora of data associated with their health record, which can include decades of enrollments, claims, accounts and charges. Much of this data is not housed within the same institutional, facility or provider database…

Due to rising healthcare costs and the Affordable Care Act removing the ban on capitated benefits coverage, numerous employers with self-insured health plans often purchase stop loss coverage. This coverage is not medical insurance; but rather, it’s a financial and risk management tool that protects the employer from excessive claims. Stop loss is used in… Read more »

Regardless of the size of the hospital or health system, you need to look beyond traditional operational metrics to fully understand your organization’s performance. Insights into revenue, volume, cost, quality and variation across service lines are key to improving both performance and profitability.

Transforming data into a competitive advantage for health plans is more important than ever. Rapid changes in the healthcare industry—such as new risk models, the uncertainty of the Affordable Care Act and game-changing mergers—are placing new obstacles on payers. The mounting pressure to support these industry transformations and the overall delivery of care has led to increased investments in analytics.

Value-based care remains top of mind for payers and providers alike. However, continued misalignment between payers and providers can hinder their ability to achieve cost and quality goals. A recent Quest Diagnostics study shows that 62 percent of health plan executives feel that payers have made progress in aligning with providers, while only 41 percent of physicians agree with this notion. What’s more, according to an HFMA survey commissioned by MedeAnalytics, an overwhelming 88% of providers say they are not ready for value-based care.

Frequent utilization of the emergency department for non-emergent care remains a chronic challenge for health plans looking to improve costs and quality. Studies show that as much as 5% of the overall patient population seen in the ED accounts for as much as 18% of all annual emergency department visits. In addition, nearly 20% of ED complaints stem from mood disorders, and another 10% relate to alcohol use.

MedeAnalytics was recently highlighted in Gartner’s Market Guide for Healthcare Provider Value-Based Performance Management Analytics (VBPMA). As noted in the guide, value-based performance management analytics solutions are the next-generation financial planning and modeling tools that health systems need to manage performance across volume, value, and risk-based contracts.

This week, MedeAnalytics celebrates our 25th anniversary! Mede has evolved significantly since its revenue cycle beginnings, and through it all, our dedication to helping improve the business of healthcare through smarter decision making has never wavered.

As the 2019 HEDIS season approaches, it’s important to identify the tools that will inject speed and data quality in your chart chase process. With a simplified and streamlined chart chase process, you can save time and eliminate costly inefficiencies—to quickly put high HEDIS scores within reach.