Maintaining Your Practice Autonomy: 5 Ways to Increase Profitability and Reduce Your Administrative Burden
Sponsored by
Inovalon
July 23, 2024
Independent physician practices face a growing risk due to heavy administrative burdens, declining revenue, and increased expenses. This white paper reveals five strategies to combat revenue loss and simplify administrative duties to secure your practice autonomy.
Challenges to Solutions: How Billing Providers Leverage Tech for Revenue Cycle Management
Sponsored by
Inovalon
July 23, 2024
Discover how advanced technology is revolutionizing revenue cycle management (RCM) for billing providers in our latest infographic, "Challenges to Solutions: How Billing Providers Leverage Tech for Revenue Cycle Management."
With over 50% of primary care physicians overwhelmed by ever-changing billing rules and only 55% of patient dues typically collected, the need for innovative solutions has never been greater. Take the first step towards a more efficient and patient-centric healthcare system now by downloading this infographic.
The Hospital Leader’s Guide to 5 Types of Vendors and Partners
Sponsored by
Optum
July 17, 2024
Hospitals and health systems are grappling with slim profit margins, workforce shortages and evolving technology and services. That makes choosing the right partner or vendor a critical strategic decision.
Healthcare leaders face choices that range from short-term transactional relationships to long-term partnerships with shared risk and strategic alignment. Their challenge lies in discerning the right vendor or partner type for their organization’s unique needs.
This white paper from Advisory Board provides insights on navigating the complex terrain of vendor and partner relationships. It’s based on comprehensive research conducted with diverse hospitals and health systems.
Care management: Building trust through personalized member engagement
Sponsored by
Wolters Kluwer
June 28, 2024
Health plans understand that building strong relationships with members is the key to influencing healthy behaviors, closing care gaps, improving outcomes, and reducing costs.
But most health plan care management functions are struggling to reach and engage with at-risk members. McKinsey studies found that:
80% of identified at-risk members are not reached.
Average engagement rates across high-risk groups are less than 30%.
60% of members who are reached by care management do not follow through on recommended care plans.
Health plans need to build or rebuild trust and establish stronger relationships with the members they serve. A central component of that is member engagement through which consumer-oriented, personalized experiences help members become more confident in managing their health decisions while also helping care teams build stronger member relationships, enabling them to influence behaviors and, ultimately, better outcomes.
Breaking Down Barriers for Health System Specialty Pharmacies
Sponsored by
Cardinal Health
June 25, 2024
While many health systems are exploring or expanding specialty pharmacies as a strategy to extend care to patients and generate prescription margin, their success depends on successful prescription claims adjudication — which is becoming a growing challenge.
“Implementing a specialty pharmacy model is complex,” notes Mike Brown, vice president of managed services for Cardinal Health, which operates 75 outpatient and specialty pharmacies across 25 states for hospitals of all types. “We find that many overlook the resources required to navigate payor approval of prior authorizations or lack needed support to connect patients to programs that help them better afford their out-of-pocket cost of medications.”
Read this article to learn how remote models for prescription claims adjudication can unlock greater opportunity for delivering patient care.
The Importance of Accurate, Consistent BP Measurement
Sponsored by
Midmark
June 25, 2024
Of all the vital signs, 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.
For instance, in order to properly diagnose and treat hypertension—a major risk factor for coronary heart disease, stroke, and renal failure—caregivers need to obtain accurate BP information that includes both current BP measurements and trending data.
Inaccurate BP measurement can lead to either a missed diagnosis or misdiagnosis, both of which can cause harm to patients by either not appropriately treating hypertensive patients or medicating patients who are not hypertensive, respectively.
Because of its centrality in care and better outcomes, it is essential for BP measurement to be accurate and repeatable for all caregivers at all sites of care. Slight variations in technique and measurement can have a big impact on the effectiveness of the therapeutic management of many if not most, chronic diseases.
This paper will explore the main occurrences of inaccurate BP measurement and how healthcare organizations can take a standardized approach to BP measurement to help allow good experiences and outcomes to be duplicated.