New Year, New Research: 2017 Physician Network Trends & Considerations

Date: February 9, 2017

The beginning of a new year can oftentimes mean a fresh start and initiate change. With healthcare being no stranger to this notion, many industry leaders, providers, and staff members are questioning what exactly lies ahead in 2017, as well as how clinical and operational practices will be impacted. Along with the new year comes […]

Repeal, Replace, Repeat: An Overview of ACA-Related Proposals

Much uncertainty remains regarding the Affordable Care Act (ACA) and any ultimate replacement or amendments that might be forthcoming. While President Donald Trump has not yet released a formal healthcare reform proposal, he has voiced his desire for “a full repeal” of the ACA while also expressing support for maintaining some of its provisions, such […]

Examining the Potential Effect of MACRA on the Supply Chain

Date: February 7, 2017
Category: Supply Chain
Filed under: MACRA, reimbursements

The Medicare Access and CHIP Reauthorization Act (MACRA), passed and signed into law on April 15th, 2015, institutes substantial changes to the healthcare reimbursement structure. Under the final rule, published on October 14th, 2016, physicians will be reimbursed under one of two value-based models focusing directly on cost, quality, and outcomes. Physician performance in a […]

The Benefits of Storage Virtualization

Recent mergers and acquisitions of large healthcare networks have forced many organizations to deal with enormous increases of data on differing or sometimes duplicate systems running on proprietary code. In fact, estimates that the healthcare industry can expect data to grow from 500 petabytes in 2013 to 25,000 petabytes by 2020, making standardization of […]

Listen and Learn: Considerations for Physician Leadership Development

With experience both in administrative operations and on the front lines of care, physician leaders are uniquely qualified to help organizations navigate today’s changing healthcare landscape. As reimbursement has become increasingly linked to care outcomes, plenty of healthcare organizations have been trying to incorporate more physicians into leadership roles, even up to the executive level. […]

Surprise Medical Bills: Patient Protections on the Rise

Though more patients are taking control of their healthcare decisions due to rising deductibles and narrower networks, it remains possible for patients with health insurance to go to a hospital inside their network, see an in-network healthcare provider, and still be sent a large bill for care, such as lab services, provided by an out-of-network […]

A Focus on Patient Safety in the Pharmacy: RFID Medication Trays

Patient safety is a primary concern for every healthcare organization, and one area integral to clinical success is medication administration. Pharmacists are in charge of the distribution of thousands of drugs, and the logistics involved are complex and time consuming. However, there are automated solutions that can simplify processes and improve operations, such as radiofrequency […]

Answering the Call: Considerations for Call Centers

Date: December 28, 2016
Category: Revenue Cycle

Listening to recorded calls may be one of the surest ways to identify and address performance issues with front-end call center staff. Keeping customer service standards high continues to be important for many leaders, and with so many calls received every day—every hour, even—leaders have a broad sample to choose from when trending performance. Because […]

Need Cash Now? CMS Reopens Hospital Appeals Settlement Process

Date: December 22, 2016
Category: Revenue Cycle
Filed under: claims, CMS, Medicare, settlement

The Centers for Medicare & Medicaid Services (CMS) has a backlog problem when it comes to appeals of claim denials. The United States Department of Health and Human Services (HHS) stated that in FY 2015 there were more than 1.2 billion Medicare fee-for-service claims filed. Only roughly 123 million of those claims were denied, and […]