The healthcare industry’s billing and payment system is a horse-and-buggy in a world contemplating driverless cars. Consumers, shouldering higher costs, are frustrated by the system, which still largely relies on paper and telephone calls for billing and payment.
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By John Halamka MD – The first part of this week I have been in China – Shenzhen, Shanghai, and Xuzhou as part of a Harvard Medical School program to help the Chinese create a learning healthcare system while they build 1000 new hospitals and train 300,000 new primary care givers.
CMS issued a proposed rule to update fiscal year (FY) 2016 Medicare payment policies and rates under the Inpatient Prospective Payment System (IPPS) and the Long-Term Care Hospital (LTCH) Prospective Payment System (PPS).
By Sarianne Gruber – Smart Insights, a provider of specialized information on the secured transactions industry, and brings the latest information on the mHealth industry in their April 2015 white paper, “mHealth Market in the US at a Glance”.
By Sarianne Gruber – Predicting Readmission Risk with Institution Specific Prediction Models is a study that illustrates why healthcare analytics has a vital role in meeting challenges of new policies, managing population health, and predicting a patient’s risk to readmit.
By Richard Kronick, Ph.D. – Today, more Americans than before get safer care, more effective treatments for their illnesses, and better access to care, a new report from AHRQ finds.
By Sarianne Gruber – In their most recent white paper, Assessing mHealth Apps in the Digital Health Maturity Index, Mobiquity, Inc., a mobile engagement provider, wanted to know which mobile health (mHealth) apps are working, which apps are not and what does it take for a health app to keep a head of the competition.
By Ashish Jha – Now we’re giving star ratings to hospitals? Does anyone think this is a good idea? Actually, I do. Hospital ratings schemes have cropped up all over the place, and sorting out what’s important and what isn’t is difficult and time consuming.
By Paul Bradley – The reasons claims are denied are so varied that managing denials can feel like chasing a thousand different tails. This situation is not surprising given that a hypothetical denial rate of just 5 percent translates to tens of thousands of denied claims per year for large hospitals—where real-world denial rates often range from 12 to 22 percent.