Evolving Your Revenue Cycle to Embrace Modern Challenges
April 8, 2020
Are outdated revenue cycle paradigms holding you back?
Value-based care, the rise of consumerism and shifting payer trends have fundamentally altered the provider health care landscape. Yet most providers are still operating under antiquated revenue cycle models. At each stage of the revenue cycle, providers face new challenges that require new solutions.
At Optum360, we have a new vision for the revenue cycle to address these new challenges. In this revenue cycle, processes are fused into a single ecosystem that shares best practices and analytic insights across all stages and functions. It’s built on rich clinical content, payer-informed rule sets and the experience of countless clinical experts. It leverages clinically aware artificial intelligence. And it involves payers and providers working together in a transparent and collaborative way.
Read through our new eBook, Evolving Your Revenue Cycle to Embrace Modern Challenges, to learn which characteristics providers need to apply for a modern revenue cycle.
Optimizing Primary Care Model Design to Improve Performance
April 6, 2020
COVID-19 has providers planning for seismic operational and financial shifts. Right now, providers’ staffing plans need to focus on ensuring that a sufficient ratio of clinical and non-clinical staff are deployed to support an overwhelmed delivery system. While shortages of physicians, clinicians and staff are likely to occur in various subspecialties over the next few months, keeping staff healthy, both in mind and body, should be of the utmost importance.
Given the current situation, you may reserve to read this white paper at a later time; however, downloading it today provides access to the analysis Premier® performed that found wide variation in physician practice staffing models and productivity, as well as opportunities for improvement.
Leveraging its robust database of detailed physician practice information, Premier pinpointed variation across staffing models and found that under fee-for-service payment:
Skill mix is not a predictor of provider productivity.
Medical assistant-only models may be the most cost-effective option for practices that are fee-for-service revenue based.
The highest performing models have a larger number of support staff per provider.
Growing Threats to Hospital Margins Lead to Strategic Partnerships and a Digital Overhaul
Conifer Health Solutions
March 30, 2020
Hospitals face growing threats to their margins in the coming decade due to pressures from the government, payers, employers, and consumers seeking cost containment and higher-value care. Hospitals also continue to experience less favorable payer mixes and rising competition from disruptive companies that are providing quicker, convenient access to healthcare services and providers.
The HealthLeaders report “Growing Threats to Hospital Margins Lead to Strategic Partnerships and a Digital Overhaul,” explores these trends as well as results from a recent Buzz Survey that polled 113 senior-level industry leaders on the top pain points impacting their bottom line.
A Guide to Patient Satisfaction in the Age of Consumerism
March 10, 2020
As patients take on increasingly heavy financial burdens for their healthcare through burgeoning premiums, copays, and deductibles, their tolerance for subpar service diminishes. And the standard to which today’s healthcare consumers hold their physicians—not surprisingly—is the quality they experience when purchasing services from any business.
The call to action for physician practices, therefore, is to elevate their own standards for service, convenience, transparency, and communication—keeping in mind that in the internet age, positive or negative word of mouth can spread instantly and be far-reaching.
This white paper offers key strategies to help practices improve the patient experience.
AI isn't going to replace the doctor. It is going to replace a lot of repetitive, mundane tasks. There are many simple and repetitive tasks involved in patient communication and other patient interactions. When done manually, they can be very time consuming for staff and patients. Patients are frustrated about the issues such as poor communication, long wait times, and lack of digital tools.
However, many of these problems can be addressed with automation and further improved with AI. Therefore, AI is perfect for improving patient communication and experience.
To learn more about why and how AI is going to change patient experience, download this guide!