Our MedeAnalytics team recently had the exciting opportunity to sit down with leaders from Ardent Health Services on a Becker’s Hospital Review hosted webinar. During the webinar, Ardent—a 30-hospital system headquartered in Nashville, TN—discussed their analytics improvement journey and shared the major impact that this process had on critical metrics and outcomes. Read on to…

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By Donna Kennedy In 2020, regular audits conducted by CMS and other payers were paused or significantly reduced as the COVID-19 pandemic took priority. Though we are not entirely ‘out of the woods’ of this health crisis yet, regulatory compliance teams have begun experiencing the resurgence and ramping up of provider reviews. Importantly, these audits…

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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…

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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.…

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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.

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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.

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