Finance/Revenue Cycle
Ardent Health Services: ‘Analytics is a team sport’
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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Providers: Are you ready to be audited?
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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Inside look: How Blue Cross & Blue Shield of Rhode Island used analytics to reshape client retention and staff productivity
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.
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Pandemic devours hospital revenue; these ideas can help get it back
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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The Real Payback of Healthcare Analytics: Key Questions from Healthcare Leaders Around the Nation
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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The future of digital health part 3: AI, machine learning and robotics
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.
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You’re asking too much of your EHR
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.
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Gamification in healthcare only works if you can measure it – here’s how
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
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Measuring provider cost and utilization
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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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.
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