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CenterWell Senior Primary Care to Open 9 Senior-Focused Care Centers In Arizona

CenterWell Senior Primary Care will open nine new senior-focused primary care centers in the Phoenix area through early 2023, marking the company’s debut in the Arizona market, giving local seniors access to CenterWell’s personalized, care-team approach to healthcare.

How AI and ML Can Manage Your Third Biggest Payer: Patients

ACOs, Hospital Systems, Industry Perspectives, Practices

After Medicare, Medicaid, managed care and commercial health plans, the remainder of a hospital or health system’s revenue comes from patients. Those balances already comprise more than 30 percent of a large health system’s revenues and are rising rapidly. An analysis released last year found an 88 percent increase from 2012 to 2017 in total hospital revenue attributed to patient balances after insurance reimbursement.

What the Pharmaceutical Industry Can Learn from Peloton about Patient Retention and Engagement

ACOs, Hospital Systems, Industry Perspectives, Practices

Today’s mostly paper-dependent clinical trials pose fundamental challenges to the pharmaceutical industry. Such trials can be prohibitively expensive, struggle to enroll and retain a sufficient number of participants, and have difficulty maintaining compliance and data reliability. But with the advent of virtual and partially virtual trials using digital tools and devices, we have the opportunity to substantially improve efficiency by deploying the same design principles that make consumer apps so successful.

Solve Revenue Cycle Delays (and Make New Friends in IT) with Real-Time Provider Enrollment in EHRs

The health system revenue cycle is a complex process, starting with registration and scheduling, and ending with claims submitted and processed and payments received. Removing bottlenecks that prevent faster receivables has been a constant challenge facing revenue cycle leaders. Missing providers in EHRs is a major root cause of bottlenecks and rework. The advent of promising new digital provider enrollment workflows may, someday soon, eliminate them.

EHR Integration is Key to Patient Communications

The Electronic Health Record (EHR) has been positioned as the source of truth, delivering real-time patient-centered records that make information available instantly and securely to authorized users. The dirty little secret is that hospitals initially invested in EHR systems to primarily track billing and coding, helping them run their business (not necessarily improve their care) more efficiently.

What’s big in 2019? Value-based care, the patient experience and the digital workspace

Value-based care, the practice of compensating healthcare providers based on positive patient outcomes rather than on procedures executed, is rapidly becoming industry standard. To support it, healthcare organizations need to equip their staff with a new set of tools that enables them to streamline workflows and focus on patients. The best solution? A digital workspace, in which clinicians and healthcare providers can quickly and easily access the information and systems they need to do their jobs anywhere, anytime from any device.

How BI and Analytics Improve Clinical Care, Reduce Costs, and More

It may seem intuitive that business intelligence (BI) and analytics can help to improve clinical care, reduce costs and more. What may not be as intuitive is developing a strategy to achieve this in an efficient, scalable and sustainable way.

CMS finalizes policies to bring innovative telehealth benefit to Medicare Advantage

The Centers for Medicare & Medicaid Services (CMS) finalized policies that will increase plan choices and benefits, including allowing Medicare Advantage plans to include additional telehealth benefits. These policies continue the agency’s efforts to modernize the Medicare Advantage and Part D programs, unleash innovation and drive competition to improve quality among private Medicare health and […]

Healthcare Needs an Enterprise Approach to Data for the Digital ’20s

This year sets off the decade of data, making it critical for organizations to get their data houses in order by embracing an enterprise strategy based on a solid data platform. But before we look into what the future will bring, let’s revisit the major themes from the past decade: It all began in 2009 […]

Moving Healthcare to the Cloud: Measuring Success

In the last blog of our Moving Healthcare to the Cloud series, we discussed how organizations can operationalize security in order to ensure digital assets remain protected. This blog wraps up the series and examines different ways to measure the success of your efforts to move to the cloud and keep your data secure. We hope you have […]

Blueprint for Integrating Preventive Healthcare Services: Payers, Patients and Providers

According to the Polsinelli-TrBK Distress Indices Report, 20 hospitals have filed for bankruptcy since 2016. Looking ahead through 2019, medical cost trends remain stable, but extremely high as healthcare costs continue to rise. HRI projects 2019’s medical cost trend to be 6 percent. This is consistent with the last five years, which have seen trends between 5.5 […]

CMS & CDC Offer a specialized, online Infection Prevention and Control Training For Nursing Home Staff in the Long-Term Care Setting

The Centers for Medicare & Medicaid Services (CMS) is announcing a free on-line training course in infection prevention and control for nursing home staff in the long-term care setting developed with the Centers for Disease Control and Prevention (CDC). The course information covers core activities for an infection prevention and control program, with a detailed […]

Interoperability Isn’t the Only Problem Healthcare Faces – So it Isn’t the Only Answer

Everywhere you look, healthcare industry leaders are discussing the importance of interoperability and how it will transform healthcare. However, this notion – despite its hype – can be dangerous and misleading as it pushes interoperability as an excuse and the main reason for inefficiencies in healthcare. If interoperability was truly a material barrier to efficiency, […]

Healthcare Spending is on the Rise. Here’s How We Need to Adapt.

Just last month, Health Affairs released a report projecting a 5.5 percent average annual growth in U.S. healthcare spending for 2018–2027. Further, the report notes that the cost of healthcare goods and services will increase 2.5 percent each year, “faster than the average price growth experienced over the last decade.” This report itself is not […]

IT Connection Nightmares and How to Prevent Them

It’s just another day. You get home, make dinner, then flip on the news and grab your laptop, hoping to catch up on email after a hectic day at the office. As you begin to sift through your inbox, your computer suddenly freezes. A message appears notifying you that your email and laptop have been […]