Many experts are already making predictions about healthcare under Trump. Yet they are notably long on speculation and short on evidence. Rather than delve into premature detailed predictions, we recommend a more thoughtful approach.
Right now, there are simply more unknowns than knowns. For example, how much of the GOP healthcare agenda will the Trump administration adopt? What will be the openness to traditionally powerful lobbying groups, such as the AHA, AMA, AHIP and Big Pharma? Most important, what will be the focus and cadence of change efforts to come?
In this Executive Insights, “What’s Next for U.S. Healthcare Under Trump,” L.E.K.’s Kevin Grabenstatter, Wiley Bell and Andrew Kadar will:
Briefly evaluate the current state of play as Trump assumes presidency.
Ask some key questions during a time of uncertainty.
Discuss a framework for monitoring and interpreting possible executive and legislative actions as the path ahead comes into focus over the coming months.
Share outcomes of six “fault line” issues that we believe will determine the shape of healthcare reform moving forward.
Don’t Underestimate the Impact of Clinical Documentation On Your Revenue Stream
December 27, 2016
Healthcare providers should be tackling inpatient revenue from multiple fronts if they want to survive the evolution of payment reform, according to a survey of the HealthLeaders Media Council conducted in August 2016 by Healthleaders Media and sponsored by Enjoin. The survey found that there is not a simple tactic that every provider can focus on to improve revenue.
Instead providers will need to dedicate resources to increasing case-mix index, improving the discharge disposition code accuracy, reducing readmission denials, and improving quality metrics to reduce penalties.
Download the full report today to find out what steps organizations are taking to stay ahead of the curve.
Payer Audits: Commercial Payers Pick Up Where Medicare Leaves Off
December 20, 2016
Commercial health insurers usually recognize a good idea when the government has one, and they are once again following Medicare's lead by increasing the number of claims they audit. Many providers are seeing an uptick--sometimes a very sharp one--in requests for additional documentation on patient charges, even though Medicare's Recovery Audit Program has been in a lull lately while it revamps.
In June 2016, a three-question survey on audit management was sent to members of the HealthLeaders Media Council, which comprises executives from healthcare provider organizations. According to the survey, providers face multiple challenges in dealing with payer audits. Respondents were divided about which aspects of payer audits pose the biggest challenge.
To find out more, download this complementary report today!
Customize Care Anywhere wish Digital Signage: 10 Tips for Using Digital Signage to Improve the Patient Experience
December 8, 2016
When patients are more at ease, they perceive their experience in a more positive light. Digital signage from Lenovo Health is one way to better engage, inform and educate both patients and their visitors. What are the best ways to leverage this versatile technology in a healthcare setting? Here are 10 tips for using digital monitors to improve the overall patient experience and enable providers to better coordinate care across the facility, starting at the administration level.
Correctly identifying patients and accurately matching them to their medical records as they are shared across healthcare settings continues to be a troublesome (and costly) administration problem. To learn more about how today’s technology can help improve patient identity accuracy, download this complimentary infographic!
Why Hospitals and Health Plans are Turning to Credentials Verification Organizations
December 6, 2016
In the 2002 movie Catch Me If You Can—a true story—actor Leonardo DiCaprio charmingly plays Frank Abagnale, Jr., a teenager who poses as a Georgia physician, among other impersonations, and manages to work in a hospital, all without a medical degree. While comical on-screen, this is every CEO’s nightmare, and it’s just one of many reasons why hospitals must continuously invest in a comprehensive credentials verification process. Hospital medical staff services departments, which handle credentialing and privledging, are now challenged by increased scrutiny from government regulators and accreding bodies. Dr. Matthew Allswede, MD, director of OB/GYN residency training with Michigan State University and Jodie Chant, MPA, a certified provider credentialing specialist and credentialing consultant, discuss why physicians like working with centralized credentials verification organizations (CVOs) and what to look for when choosing a CVO partner.