Insights on Reimbursement Risk From a True Industry Insider

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Financial stability is top of mind for every healthcare organization. Recent industry activity, such as announcements from the Centers for Medicare & Medicaid Services (CMS) and large payer organizations earlier this year, show a definite shift away from traditional fee-for-service reimbursement models. Provider organizations looking to position themselves to thrive in the emerging value-based healthcare system must make decisions around taking on risk, and the extent of that risk, in their reimbursement arrangements. Here, Elena White, Optum’s vice president of risk, quality, and network solutions, discusses how providers are approaching decisions around risk-based contracts in the new healthcare economy.

Managing Financial Performance: New Frameworks for Traditional Challenges

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A recent HealthLeaders Media Intelligence survey asked respondents to rank their top challenges impacting financial performance and to identify specific areas of concern within each of those issues. Their top three issues were system implementation and interoperability, recruiting and retaining talent, and reengineering the revenue cycle. On the surface, it's tempting to think these findings aren't surprising. Yet emerging external factors, including the cumulative effects of the HITECH Act (meaningful use), the Affordable Care Act, and an aging U.S. population, are creating new frameworks in which to view and solve these traditional problems.

Empowering Patient-Centered Care With a Complete View of the Medical Record

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Even as the move to electronic health records (EHR) progresses in earnest, there are a myriad of challenges involving legacy data systems. Chief among these challenges is the cost of maintaining obsolete systems solely for the patient information they contain. When up to 70% of a typical IT budget is spent on maintaining the current IT infrastructure and application portfolio, organizations have little left to invest in much-needed innovation. According to a recent HealthLeaders Media Survey, many organizations are still adjusting after their migration to a new EHR system. Hospitals need to get a better grasp on all forms and sources of data that they have—and the data they don’t yet have—so that the right information can be delivered to the right individual, and in the right context, at the point of care.

On-Demand Webinar: Targeting Better Outcomes & Patient Satisfaction through Workforce Management Initiatives

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API Healthcare

Results from a recent HealthLeaders Media Council survey of 126 senior leaders indicate a shift taking place as workforce management initiatives are expected to deliver more than reduced labor costs. Now, hospitals and health systems are seeking to find ways to better develop and deploy their workforce to improve the patient experience, including both clinical outcomes and patient satisfaction.

Join executives from Anderson Regional Medical Center and an industry acuity-based staffing expert as they discuss the shift toward strategies that improve patient outcomes and the success factors necessary to achieve this.

Targeting Better Outcomes & Patient Satisfaction Through Workforce Management Initiatives

Sponsored by
API Healthcare

Workforce management and the pursuit of productivity have formed a consistent pain point for hospitals for several years. The Affordable Care Act has only exacerbated the problem, increasing the demand on providers as the number of insured grows and the bar continues to rise on quality of care. According to a recent HealthLeaders Media Council survey, workforce productivity and acuity-based staffing will continue to be top priorities this year. Karlene Kerfoot, PhD, chief clinical integration officer at API Healthcare, says the survey results indicate a shift taking place as workforce management initiatives are expected to deliver more than reduced labor costs.

Care Management Strategies Require Better Tools

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The ripple effect of healthcare reform is beginning to impact care delivery strategies as care management now falls increasingly to providers.

According to a recent HealthLeaders Intelligence survey, hospital leaders are making progress with care management efforts, but more robust tools will be needed if hospitals want to scale up.