Reimbursement for Value-Based Care: Analytics Tools Can Help Providers Navigate Stormy Seas

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U.S. healthcare providers are venturing into the treacherous waters of value-based care, and many are starting their voyages in leaky boats, according to a recent survey of industry executives conducted by HealthLeaders Media and sponsored by RelayHealth.

Download this free report to gain insight into industry feedback and key analysis surrounding the following survey questions:

  • In which specific payment models is your organization planning to make IT solutions investments over the next three years that are focused on improving its ability to manage reimbursement?
  • How many unique contracts does your organization have across all of its risk- or value-based payment models?
  • Does your organization have the ability to model its patient costs and revenues across all payment models and care settings?

The State of Web and Mobile Application Security in Healthcare

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Given the widespread adoption of electronic health record (EHR) systems and health IT generally, healthcare organizations now are faced with the daunting challenge of securing these systems to keep patients safe, data secure and systems running efficiently.

Taming the Wild, Wild West of Ambulatory CDI to Enhance Overall Hospital Revenue Strategies

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Driving financial performance in the outpa­tient setting is a top-of-mind priority among senior health system leaders. But managing the differing clinical documentation methodologies and risk assessment strategies present the great­est challenges to optimizing this important source of reve­nue, according to a recent HealthLeaders Intelligence survey. Provider organizations are finding the ambulatory setting is still a ‘Wild, Wild West’ in terms of assessing risk, clinical documentation, coding billing and medical record keeping practices. Download this report to discover key targets to improve ambulatory revenue.

Frost & Sullivan Position Paper: Product Innovation - GE Healthcare Value Based Care Administration

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GE Healthcare

Successful management of the transition from volume-based to value-based reimbursement can only be achieved when organizations are clinically and financially integrated to ensure tight care coordination and efficient resource utilization.

Frost & Sullivan’s New Product Innovation Leadership award was bestowed on GE Healthcare’s Centricity Financial Risk Manager, a unique offering in the marketplace that enables healthcare systems to reduce the cost of administering risk-based contracts by streamlining business processes, thus improving profitability and maximizing efficient workflows.

Kaleida Health’s Stroke Care Center at the Gates Vascular Institute

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Healthcare economic policies are changing rapidly since the Patient Protection and Affordable Care Act was passed in 2010. Today’s healthcare system is transitioning from volume-based to value-, quality- and outcome-based. Today, there is a new focus on “bundled payments,” which reimburses based on specific clinical episodes rather than fees for service, with a heavy focus on clinical episodes that result in the highest costs, such as stroke.

As the new bundled payment programs become a reality, stakeholders need to prove clinical utility, operational efficiency and financial performance of technology. The goal is to challenge clinicians to develop innovative solutions to contain the cost of service while continuing to deliver high-quality care.

Comprehensive Care Coordination

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Capella University

Registered nurses, with targeted training, are the secret weapon in the race for comprehensive care coordination.

Accountable care organizations.Patient-centered medical homes. Value-based reimbursements. Bundled payments. Healthcare is experiencing a revolution brought on by the Patient Protection and Affordable Care Act that aims to put patients squarely in the middle of all their clini­cal and financial decisions. Payers, including government agencies and insurers, are tying the quality and safety of patient care to reimbursements, making patient-centered care a necessity in all settings.