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The Role of Risk Assessments in Healthcare
HealthITSecurity A risk assessment helps covered entities ensure they are compliant with the HIPAA requirements in terms of physical, technical, and administrative safeguards. It also assists in showing potential areas where an organization might be putting...
What Is the Role of Natural Language Processing in Healthcare?
HealthITAnalytics For many providers, the healthcare landscape is looking more and more like a shifting quagmire of regulatory pitfalls, financial quicksand, and unpredictable eruptions of acrimony from overwhelmed clinicians on the edge of revolt. The...
How Payers Could Succeed in ACA Health Insurance Exchanges
HealthPayerIntelligence State and federal health insurance exchanges stemming from the Patient Protection and Affordable Care Act (ACA) offer medical coverage for families and individuals that would have otherwise had little opportunity to obtain a health plan and...
The Role of Healthcare Data Governance in Big Data Analytics
HealthITAnalytics Data has always been the lifeblood of the healthcare industry. From blood pressure readings and surgical records to insurance claims, immunization histories, patient demographics, and payment receipts, every action of every member of...
Preparing the Healthcare Revenue Cycle for Value-Based Care
RevCycleIntelligence Not only do value-based care models aim to make healthcare providers more accountable for the services they provide to patients, but they are also designed to shift financial accountability away from payers to healthcare organizations....
How Payers Should Prepare for Value-Based Reimbursement
HealthPayerIntelligence Value-based reimbursement is a new payment strategy between insurers and providers meant to foster higher quality care by incentivizing strong performance with shared savings, bonuses, or other financial rewards. This diverges from the more...
How to Choose the Right Healthcare Big Data Analytics Tools
HealthITAnalytics In just a few short years, the idea of “big data analytics” has transitioned from a mysterious new buzzword to an essential competency for healthcare organizations large and small. Analytics has moved from a lofty...
How to Overcome the Challenges of Bundled Payment Models
HealthPayerIntelligence Bundled payment models are a form of reimbursement between payers and providers that adheres to an episode of care instead of payment for a particular medical service. This reimbursement system was created to transition healthcare providers...
How the Affordable Care Act Changed the Face of Health Insurance
HealthPayerIntelligence The Patient Protection and Affordable Care Act (ACA) has revolutionized the health insurance industry in a number of ways. Its impacts have been vast and wide. One of the most significant impacts of the landmark legislation is the upward...
What Are the Benefits of Accountable Care Organizations?
HealthPayerIntelligence Accountable care organizations (ACOs) are provider and payer arrangements established to improve care coordination between primary care physicians, hospitals, specialists, and public or private health payers. The Centers for Medicare...
Breaking Down the Basics of the Patient-Centered Medical Home
HealthITAnalytics As the healthcare industry moves away from traditional fee-for-service reimbursements towards a new era of accountable, cost-conscious, coordinated care, healthcare organizations are actively seeking new patient management strategies to...
How Ransomware Affects Hospital Data Security
HealthITSecurity Ransomware is a type of malware that typically prevents organizations from accessing certain parts of its system. For example, an entity and its users could be locked out from critical systems, such as EHRs, and may be unable to get in...
Identifying Care Disparities for Population Health Management
HealthITAnalytics Over the last several years, “population health management” has become a key concept for healthcare providers who are trying to recalibrate their traditional operations to meet the growing challenges of value-based reimbursement...
Using Revenue Cycle Analytics for Effective Value-Based Care
RevCycleIntelligence The hospital industry has been experiencing a number of challenges in recent years due to the payment reforms coming from the Centers for Medicare & Medicaid Services (CMS) and commercial health payers. There has been a much greater...
What We Know About Value-Based Care Under MACRA, MIPS, APMs
RevCycleIntelligence The Medicare Access and CHIP Reauthorization Act of 2015 has many parts tied to Medicare and other federal health plan beneficiaries, but first and foremost it is a bill that brings an end to the sustainable growth rate and a beginning to...
Key Ways to Improve Claims Management and Reimbursement in the Healthcare Revenue Cycle
RevCycleIntelligence Reimbursement is changing in healthcare. Even before elements of the Affordable Care Act began to go into effect, a growing focus on value- based care versus volume has led many healthcare organizations and providers to consider...
Increased EHR Adoption Raises Need for Robust Security
HealthITSecurity EHR security is one small piece to the larger data security puzzle that healthcare organizations, especially those of a larger size, are becoming increasingly aware of and looking to address. Under HIPAA, covered entities have the...
Time, Commitment Required for ACO, Value-Based Care Success
HealthPayerIntelligence In healthcare, as in so many other areas of life, patience is a virtue. Providers and payers pursuing ACO development will need to have plenty of it before their care transformation efforts pay off with significant cost savings. As...
Why Healthcare Needs Value-Based Supply Chain Management
RevCycleIntelligence Healthcare supply chain — the holistic flow of relationships between suppliers and customers — is about efficiently delivering low cost care as goods and supplies, such as a pair of doctor’s gloves, move from point of...
