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Healthcare Payments

Contentious Negotiations Highlight 2019 Payer & Provider Trends

May 30, 2019

HealthcareDive takes a look at changes and trends it anticipates in the coming year, mainly due to political ripples from Washington (for instance, a judge’s declaration that the Affordable Care Act is no longer constitutional) and emerging consumer preferences. Their snapshot of a few big trends for the payer and provider crowds to watch for…

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Early Detection of Alzheimer’s Uses Tools Similar to Healthcare EOB Processing

May 7, 2019

In news that is encouraging to millions of individuals and families affected by Alzheimer’s disease, Scientific American reportson researchers from the VU University Medical Center in Amsterdam who suggest AI and Machine Learning — already making waves in other industries — could eventually allow automated screening and assisted diagnosis of various forms of dementia, particularly…

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REPORT: Health Providers Coming Up Short on Consumer Experience, Patient Payments

April 25, 2019

InstaMed has released a report that should act as a wakeup call for the health industry as a whole and health providers specifically. Even before you download the report PDF, there’s a striking chart that gets right down to business. Here’s an excerpt: Some additional relevant data from the report: 61% of patients said they…

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Survey Reveals Growing Provider Interest in RCM Tools

April 11, 2019

HealthCareDive reports on a Connance survey revealing that 70% of providers claim it takes more than a month to collect from patients, and a 2017 Advisory Board analysis found that the average 350-bed hospital lost up to $22 million in revenue due to revenue cycle issues. The “Deep Dive”: Providers are increasingly turning to payment…

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medical team meeting

Study: EHRs Get Graded in Response to Work Environment

March 29, 2019

Penn Nursing’s Center for Health Outcomes & Policy Research (CHOPR) did a study measuring nurse satisfaction with EHR systems and the “concurrent effects of EHR adoption level and the hospital work environment on usability and quality outcomes.” HealthData Management reports: What CHOPR found was that 25 percent of nurses reported dissatisfaction with their current EHRs…

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3 Ways Blockchain Technologies Can Impact Healthcare Right Now

March 21, 2019

If you’re looking for a good, basic breakdown of blockchain technologies, head over to HealthData Management for a concise summary of the core technologies involved in blockchain, and why they are making such an an impact in the Healthcare industry. As we’ve discussed previously, blockchain is a ledger of records arranged in data batches called…

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Haven: The Amazon-JPMorgan-Berkshire Healthcare Venture Has a Name

March 14, 2019

There’s been a lot of chatter and speculation as to what the much-discussed health care partnership created by powerhouses Amazon, JPMorgan, and Berkshire is going to consist of and what it might be called. Drum roll please…It’s called HAVEN (and they even have a website, complete with a letter from Chief Executive Officer Atul Gawande,…

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RCM in a VBR-Driven World

March 7, 2019

The Executive Briefing at OpenMinds.com discusses the ways Revenue Cycle Management must adjust in the VBR (value-based reimbursements) World. OPEN MINDS Senior Associate David E. Wawrzynek summed up the changes organizations need to make in order to survive — and succeed — with revenue cycle management in a value-based world: The revenue cycle management process…

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Medicare: Site-Neutral Payments on Tap for 2019

February 28, 2019

According to a final rule issued November 2, 2018, the longstanding Medicare policy in which healthcare payments varied based on the setting is about to expire. The rule came as part of the 2019 Medicare Hospital Outpatient Prospective Payment System (HOPPS) and Ambulatory Surgical Center (ASC) payment system rule by the U.S. Centers for Medicare…

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“Lack of Urgency” Lags Healthcare Payments

February 22, 2019

A newly released research report from Business Insider Intelligence makes the case that, compared to other industries, the United State Healthcare industry has been slow to embrace new payment systems and processes. They point out, for instance, that approximately 77% of healthcare providers still use paper-based patient billing methods, according to an MGMA and Navicure…

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