HealthLeaders Media Finance - March 15, 2010 | Pure Genius: TPA and Hospital Collaborate to Decrease Denials and Save View as a Webpage | Subscribe for Free
Pure Genius: TPA and Hospital Collaborate to Decrease Denials and Save
Karen Minich-Pourshadi, Senior Editor-Finance

The hospital and third-party payer relationship is an intensely inharmonious union between two entities that have two common goals—to make patients well and to get paid well in the process. Yet claims processing has been a slow and inefficient process on both sides, leading to large financial losses. After years of back and forth, someone is trying to fix it. As they say, there's genius in simplicity, and what I'm about to share with you is almost Einstein-esque. [Read More]

  March 15, 2010

 
Editor's Picks
Systems Realize They Gain from Collaboration
Just as collaboration was a key to the success of the Blue Shield of California and St. Joseph's Health System POET project, other unlikely friendships are developing between rival healthcare organizations and revealing unique opportunities to improve care. Find out how members of two California health information technology groups joined hands to form Cal eConnect, an entity that will provide leadership and oversight so that California health providers get every penny of the $3 billion in stimulus funds. [Read More]
Four Steps to Better Leadership
How are your leadership skills these days? When is the last time you checked to see if you were really living up to your own leadership potential? HealthLeaders Media Leadership Editor Philip Betbeze takes a look at lessons in effective leadership to help you keep your skills sharp. [Read More]
Finance Forum
10 'Do-It-Now' Strategies to Boost Cash
Providers leave money on the table for one simple reason: They don't focus on the front end. To help healthcare financial leaders obtain the payments due, get their balance sheets back on track, ensure all processes are handled fairly, and guide patients through the payment system, here are 10 front-end strategies to help your hospital find the money. [Read More]
Finance Headlines
Healthcare Reform Passage Could Come Down to Three Ifs
Janice Simmons, for HealthLeaders Media - March 15, 2010
Medical Breakthroughs That Will Change Healthcare
Gienna Shaw, for HealthLeaders Magazine - March 2010
Bundled payments might cut hospital costs without reducing quality of care
Washington Post - March 15, 2010
Pricey imaging pushes up health costs in Massachusetts
Boston Globe - March 11, 2010
Health reform myths
New York Times - March 15, 2010
Sponsored Headlines
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From HealthLeaders Magazine
Medical Breakthroughs That Will Change Healthcare
HealthLeaders March 2010 Here are the devices, treatments, and procedures that will change the delivery—and the business—of healthcare. [Read More]
Service Line Management
Making Women's Health Work
Women's health is becoming more expansive and multidisciplinary, but there's no one-size-fits-all approach to success. [Read More]
Money Talk

A look at one hospital's struggles to improve

Children's Hospital of the King's Daughters, Norfolk, VA
Rating: Aa3
Outlook: Stable
Affected Debt: $78 million
Agency: Moody's Investors Service
Remarks: Moody's has downgraded the long-term rating to Aa3 from Aa2 and has affirmed VMIG 1 short-term rating of the Virginia Small Business Financing Authority Variable Rate Tax Exempt Revenue and Refunding Bonds (Children's Hospital of the King's Daughters, Incorporated Project) Series 2006 in conjunction with the substitution of the current letter of credit securing the bonds and provided by Wachovia Bank, N.A., with a direct-pay letter of credit to be provided by Bank of America, N.A. The structure of this transaction isn't supported by Moody's, thus the rating for the bonds are based on (i) the bank letter of credit, (ii) the structure and legal protections of the transaction, and (iii) Moody's evaluation of the credit quality of the bank.
[Read More]
Audio Feature

CEOs Get the Cost Message Loud and Clear: Chris Jedrey, a partner with the law firm of McDermott Will & Emery, discusses the setback on healthcare reform legislation and whether that will also set back health organizations' focus on cost and quality issues. [Listen Now]
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