Why Health Plans and Employers Need Stop Loss Reporting
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.Read More
Digging deeper: Leveraging analytics to boost service line profitability
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.Read More
How to Combat High Healthcare Costs with Analytics
It’s no secret that U.S. healthcare spending continues to rise. In fact, CMS projects healthcare spending to rise 5.5 percent annually from 2017 to 2026 and comprise nearly 20 percent the nation’s economy in 2026. […]Read More
Halfway Through 2018 – Where Is Healthcare Headed?
With the first half of the year behind us, we thought we’d share some of the current healthcare trends that are gaining traction in this week’s blog post. We’ve outlined the top four to keep watch for over the remainder of 2018. […]Read More
How can Analytics Help Solve Healthcare’s Biggest RCM Issues?
Revenue cycle management (RCM) is a critical part of any healthcare operation and with rising healthcare costs it’s even more difficult to manage. However, to better handle costs and overall revenue, healthcare organizations need to prioritize and develop an RCM strategy. The strategy itself needs to address various revenue pain points, including: cash collections, bad […]Read More
As costs go up, how can the industry adapt?
Healthcare costs continue to rise across the industry. According to a study published in the Journal of the American Medical Association, money spent on healthcare in the U.S. is nearly twice as high as 10 high-income countries. Not only does the U.S. have the highest percentage of obese adults but it also has the lowest […]Read More
HIMSS18 Series: The Top Payer Trends to Watch
We’re a little more than one week out from the annual HIMSS conference which begins on Monday, March 5 at the Sands Expo Center in Las Vegas, NV. The event brings together more than 40,000+ health IT professionals from various sectors of the industry. To help you better prepare for this whirlwind event, we connected […]Read More
How West Tennessee Healthcare Turned Bad Debt into Reclaimed Revenue
The healthcare reimbursement landscape is continuously changing, creating numerous challenges for healthcare organizations as they look to increase revenue. In fact, the revenue risk among not-for-profit and rural healthcare systems are even greater. The National Rural Hospital Association, estimated that 673 rural facilities were at risk of closure, out of over 2,000. West Tennessee Healthcare […]Read More
EPM Series: Providers, Follow these Best Practices to Optimize your Revenue
With the healthcare industry continuing to shift away from fee-for-service, healthcare organizations still face the challenge of properly tracking all their efforts and ensuring they are being appropriately reimbursed. A recent Healthcare Informatics report noted that: “Ongoing changes in both public and private payment are shifting the landscape around revenue cycle management these days, and […]Read More
Why CFOs and CIOs Need to Collaborate at HFMA ANI
The upcoming HFMA ANI conference (June 25-27) in Orlando, FL, will bring together thought leaders in the healthcare finance space to connect, discuss and explore the opportunities ahead. This year’s show theme – collaborating for the future – is particularly timely since the healthcare industry continues to rapidly consolidate, and the fate of the Affordable […]Read More