Alexandra Wilson Pecci is an editor for HealthLeaders.
Blue Cross Blue Shield of Massachusetts' alternative payment model slowed the rate of medical spending growth and improved patient care, a new study shows.
ACOs in which 40% to 45% of the patient visits were provided by a specialist had $1,129 lower annual spending per beneficiary than ACOs with a specialist visit proportion of less than 35%.
Many of the obstacles in revenue cycle are within healthcare leaders' power to dismantle.
The new industrywide Project Link program will share and shape insurer initiatives and research, as well as develop state and national policy guidelines.
Creating a patient-focused scheduling center resulted in several unexpected boons for Piedmont Healthcare, from improving the patient experience to reducing denials.
The partnership could reduce administrative burden, expedite payments, and lower cost to collect for insurance balances.
A new report shows 12% percent of organizations offer no pricing transparency options at all.
Using AI-powered automation to follow up on the status of outstanding claims resulted in increased revenues and cost savings for one health system.
Many revenue cycle leaders want to be the gatekeepers of cost information, but clinicians need to have those conversations, too.
Requiring across-the-board health plan contracting from providers would eliminate most out-of-network billing, researchers say.