Finance/Revenue Cycle Archives

As much as the past 18 months of pandemic disruption have compromised staffing operations, financial stability, patient care, customer service, and many other facets of healthcare, we are also witnessing unique opportunities for transformation emerging in these spaces.

There’s no way around it. The coronavirus pandemic has created a perfect storm that, even as we progress through the vaccination phases, continues to impact the financial stability of the healthcare industry, specifically hospitals. “Hospitals across the country have faced higher prices for extra staff, especially travel nurses, to ensure enough capacity to fight the…

MedeAnalytics hosted a Fierce Healthcare webinar featuring key senior leaders from three preeminent healthcare organizations in the U.S: Dave Schweppe, National Vice President of Customer Analytics and Reporting at Kaiser Permanente Beth Wolf, MD, Medical Director of Health Information Management at Roper St. Francis Healthcare Michael Duke, Principal of Healthcare Consulting at Baker Tilly U.S.…

This post is part three of a new series featuring healthcare visionary and thought leader Andy Dé. In this series, Dé discusses how COVID-19 has triggered remarkable digital transformation and uncovers five, long-term innovation implications that providers, healthcare leaders, and payers need to consider.

Electronic Health Records (EHRs) are purported to do a lot of things to support healthcare providers, and most of their claims are generally accurate. Of course, like anything, there are many areas where EHR vendors could and should make improvements.

In business and in sports, it’s all about teams. What teams can accomplish when they work together. How they can fail spectacularly when they do

No matter the time of year, payers and providers should work to agree on a shared source of truth when it comes to data. With the recent end of the year, it’s time to celebrate the new year (who isn’t ready to say goodbye to 2020?) and close the books, which includes the reconciliation of any shared savings or losses.

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.

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.

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. […]

Finance/Revenue Cycle

Inside look: How Blue Cross & Blue Shield of Rhode Island used analytics to reshape client retention and staff productivity

Pandemic devours hospital revenue; these ideas can help get it back

The Real Payback of Healthcare Analytics: Key Questions from Healthcare Leaders Around the Nation

The future of digital health part 3: AI, machine learning and robotics

You’re asking too much of your EHR

Gamification in healthcare only works if you can measure it – here’s how

Measuring provider cost and utilization

Why Health Plans and Employers Need Stop Loss Reporting

Digging deeper: Leveraging analytics to boost service line profitability

How to Combat High Healthcare Costs with Analytics