Taming the Wild, Wild West of Ambulatory CDI to Enhance Overall Hospital Revenue Strategies
Sponsored by
Microsoft-Nuance
March 1, 2016
Driving financial performance in the outpatient setting is a top-of-mind priority among senior health system leaders. But managing the differing clinical documentation methodologies and risk assessment strategies present the greatest challenges to optimizing this important source of revenue, according to a recent HealthLeaders Intelligence survey. Provider organizations are finding the ambulatory setting is still a ‘Wild, Wild West’ in terms of assessing risk, clinical documentation, coding billing and medical record keeping practices. Download this report to discover key targets to improve ambulatory revenue.
Frost & Sullivan Position Paper: Product Innovation - GE Healthcare Value Based Care Administration
Sponsored by
GE Healthcare
February 15, 2016
Successful management of the transition from volume-based to value-based reimbursement can only be achieved when organizations are clinically and financially integrated to ensure tight care coordination and efficient resource utilization.
Frost & Sullivan’s New Product Innovation Leadership award was bestowed on GE Healthcare’s Centricity Financial Risk Manager, a unique offering in the marketplace that enables healthcare systems to reduce the cost of administering risk-based contracts by streamlining business processes, thus improving profitability and maximizing efficient workflows.
Kaleida Health’s Stroke Care Center at the Gates Vascular Institute
Sponsored by
Toshiba
February 8, 2016
Healthcare economic policies are changing rapidly since the Patient Protection and Affordable Care Act was passed in 2010. Today’s healthcare system is transitioning from volume-based to value-, quality- and outcome-based. Today, there is a new focus on “bundled payments,” which reimburses based on specific clinical episodes rather than fees for service, with a heavy focus on clinical episodes that result in the highest costs, such as stroke.
As the new bundled payment programs become a reality, stakeholders need to prove clinical utility, operational efficiency and financial performance of technology. The goal is to challenge clinicians to develop innovative solutions to contain the cost of service while continuing to deliver high-quality care.
Registered nurses, with targeted training, are the secret weapon in the race for comprehensive care coordination.
Accountable care organizations.Patient-centered medical homes. Value-based reimbursements. Bundled payments. Healthcare is experiencing a revolution brought on by the Patient Protection and Affordable Care Act that aims to put patients squarely in the middle of all their clinical and financial decisions. Payers, including government agencies and insurers, are tying the quality and safety of patient care to reimbursements, making patient-centered care a necessity in all settings.
In the coming era of accountable care, providers will finally have something to gain by actively engaging patients in taking care of their health—and a lot to lose by not doing so. The best way to do that is to manage every aspect of their care. But the patients themselves will remain free to defect to another provider whenever they choose, either temporarily or permanently. Persuading them to centralize their care will rapidly become job 1. This report explores survey results about the primary forces enabling patient engagement and features a case study about the active care management program in development at Beaufort Memorial Hospital in South Carolina.
ICD-10 has presented monumental preparation challenges to U.S. healthcare providers, who have had to overhaul their billing departments and systems and retrain their staffs. And many may now think the heavy lifting is done, according to a recent survey of industry executives conducted by HealthLeaders Media and The SSI Group, Inc. But while providers may successfully get a bill out the door with a valid ICD-10 code, they may not be prepared for a payment delay or an actual drop in revenue when the payer sends it back for more details.