Achieving organizational impact with UpToDate® Enterprise Edition
Sponsored by
Wolters Kluwer
November 7, 2024
Using advanced analytics, health system leaders are discovering ways clinical data can help fill administrative gaps and shape strategic plans.
The care delivery landscape is changing rapidly. Modern health systems have to keep pace, not only with technological innovations, but also with the growing complexities of their own organizations. As health systems’, care teams’, and patients’ needs evolve, achieving goals for both care quality and organizational efficiency become harder to balance.
Learn how UpToDate® Enterprise Edition can help your organization achieve its goals. Download the report today!
Preparing for 2027: Driving health equity with inclusive member education
Sponsored by
Wolters Kluwer
November 7, 2024
For payers and care management teams looking to gain or maintain STARS ratings or HEDIS scores, focusing on the upcoming changes from the Centers for Medicare and Medicaid Services (CMS) Health Equity Index is of vital importance.
Ensuring members receive quality care and service experiences that consider health equity factors can not only improve member outcomes and help maintain or increase Stars ratings, but can also create more effective programs with the opportunity to expand Medicare Advantage (MA) programs. Partnering with members will be key to understanding their needs, both individually and as a population, and to meet these expectations.
Navigating the RCM Challenge: How Physician Practices Can Thrive in a Complex Financial Landscape
Sponsored by
Coronis Health
November 6, 2024
In today’s challenging healthcare environment, physician practices face increasingly complex revenue cycle management (RCM) demands. “Navigating the RCM Challenge,” by Patrick D. Free of Coronis Health, outlines how specialized RCM partnerships can help practices streamline operations, optimize revenue, and enhance patient experiences. This article is essential for practices aiming to thrive financially while delivering high-quality patient care.
Key Takeaways:
Specialty-Specific Coding Precision: Partnering with RCM experts helps minimize costly errors, recover lost revenue, and maintain compliance.
Streamlined Operations and Technology Use: Efficient RCM processes lead to faster claims, reduced denials, and better cash flow.
Transparency for Patient Trust: Clear billing fosters patient loyalty and reduces billing disputes, enhancing the patient experience.
Download the article to explore practical strategies for navigating RCM complexities and achieving sustainable growth.
Benefits of Better BP Measurement: Steps to Help Ensure Consistent and Accurate BP Readings
Sponsored by
Midmark
November 6, 2024
Value for Patients, Providers and Healthcare Systems
Blood pressure (BP) measurement has perhaps the most clinically significant connection to point-of-care diagnosis, patient risk stratification, and proper medication dosing. These important factors of care management are essential to proper diagnostic and therapeutic decision-making tied to better outcomes.
This white paper identifies some of the steps providers and healthcare systems can take to help ensure consistent and accurate BP readings and some of the more important benefits providers and patients may realize.
Boosting Diagnostic Accuracy and Operational Efficiency with Butterfly Network’s Enterprise Ultrasound Solution
Sponsored by
Butterfly
October 30, 2024
The clinical and economic value of point-of-care ultrasound (POCUS) is well-documented, with numerous studies showcasing its impact on improving clinical outcomes, enhancing efficiency, and driving cost savings. The benefit of POCUS to modern medicine is no longer a hypothesis—care improves when POCUS is used.
Across the nation, medical schools and residency programs have acknowledged the importance of POCUS, embedding it as a vital element in their training curricula. This movement reflects the strong consensus and extensive evidence that POCUS is now a fundamental tool in modern medical practice, making clinician training and adoption essential. However, challenges such as cost, limited device availability, integration infrastructure, and governance have impeded broader adoption.
In early 2021, the University of Rochester Medical Center partnered with Butterfly Network to deploy a system-wide ultrasound program aimed at improving patients’ access to imaging, streamlining physician workflows, and optimizing revenue capture. This case study describes the implemntation and demonstrates that deploying affordable, portable POCUS devices like Butterfly, combined with integrated, device-agnostic software, is both practical and cost-effective. At a time when healthcare margins are thin and efficient care models are essential, URMC has harnessed the power of POCUS to effectively meet these challenges. Read more on their approach, which serves as a compelling blueprint for other institutions to follow, ushering in a new era where the promise of POCUS is fully realized across all specialties and care settings.
The APIs Are the Easy Part: Maximizing Your ROI while Meeting CMS Interoperability and Prior Authorization Requirementsy
Sponsored by
InterSystems
October 15, 2024
Health plans should be able to harness the investment in IT infrastructure mandated by the latest CMS rule on interoperability and prior authorization to create the data liquidity needed drive top strategic goals, such as reducing provider abrasion, improving member experience, increasing productivity, and supporting value-based care. The scope of CMS-0057-F, however, is wide ranging.
This white paper:
Summarizes new requirements for the four types of information sharing addressed, namely payer-to-payer, payer-to-provider, payer-to-member, and prior authorization submission and determination.
Analyzes processes and workflows impacted by the regulation and resulting opportunities for performance improvement.
Provides key “Questions to Consider” that should inform plan investment decisions.
Designed to be shared with IT, clinical, and operational leaders, the paper will help your leadership team achieve larger strategic returns on mandated plan investment while meeting regulatory requirements.