By Gregg Church – Hospital-based and commercial labs are flooded with all types of mismatched patient data. However, disparate systems coupled with a lack of universally mandated data standards and protocols means that big data just gets bigger ─ and clinical interoperability challenges just get larger.Read More
Healthcare Revenue Cycle and Finance
By Sanjay Seth MD – The COVID-19 pandemic has created great uncertainty for Accountable Care Organizations. From the complete demise of value-based care payment models to loss of shared savings incentives, ACO concerns abound and rumors run rampant.
Latest news being reported on payers and the health insurance industry including news from AHIP, HFMA, Anthem Inc., Cigna, CVS Health, Humana, InstaMed, UnitedHealth Group and more.
Hospital patient volumes dropped dramatically and quickly since the end of February as both patients and doctors reprioritized or delayed normal services. According to data gathered by the Crowe Revenue Cycle Analytics software, with the exception of those in New York City and San Francisco…
By Kermit S. Randa & Jay Spence – The COVID-19 pandemic continues to impact hundreds of thousands of lives and the connected global economy in virtually every business sector. Healthcare leaders have an especially unique challenge — as the rest of the world hunkers down…
Latest news being reported on payers and the health insurance industry including news from Centene, Experian Health, Humana, Cigna, Blue Cross Blue Shield Association, UnitedHealth Group, Anthem, CVS Health and more.
By Kayla Matthews – A recent Cornell University study was the first of its kind to examine the prescribing behavior before and after receiving complimentary food. The institution’s goal was to see if these in-kind payments directly affect whether doctors prescribe certain drugs to their patients.
By Deborrah Short Rodrick – Thirty percent of healthcare spending could be considered waste, a recent study found—and up to one-third of wasteful spending is tied to administrative complexity, including billing challenges.
By David Meyers MD & Jeff Brady MD, MPH – It takes a team effort to reduce potentially preventable hospital readmissions. Patients leaving the hospital need tailored education about how to take their medications, whether to get home care services, and when to follow up with their primary care physician.