By Craig Enge – Regardless of the quality of care delivered, contracting can have as much or more impact on the financial success of your health system. The road to value is littered with health systems that performed well, engaged in a value-focused process, yet still categorized their contract as a failure.Read More
Healthcare Revenue Cycle and Finance
Latest news being reported on payers and the health insurance industry including news from Cohere Health, AHIP, Anthem, Humana, Blue Cross Blue Shield, UnitedHealth Group, AMA, Oscar Health Insurance, Cigna, CareSource and more.
By Vasilios Nassiopoulos – Reimbursement is becoming increasingly complex for today’s providers. And while it is fair to say that a certain amount of missed revenue has always been part of the bottom-line equation, healthcare organizations simply cannot afford to leave money on the table in the current market climate.
By Cameron Wood – Independent practices have been facing unprecedented challenges, especially in today’s pandemic based reality. Two of the most fundamental aspects of starting and running a practice are often the aspects that most practices ignore: payer contracts and credentialing.
By Craig Adkins – The pandemic has brought many challenges to physician practices, especially small, independent providers operating outside the domains of COVID-19 treatment. Fewer outpatient visits and even fewer procedure have led to serious financial hardship for many providers.
By Summer Humphreys – Patient health hasn’t been the only thing that was hit hard (and continues to feel residual effects) during the COVID-19 pandemic. Numerous reports have shown that healthcare organization revenue also suffered dramatically since mid-March.
By Deirdre Ruttle – The idea of a largely digital world is no longer a far off fantasy. It is today’s reality. Digital adoption is expected to continue growing as precautionary guidelines related to COVID-19 encourage limited in-person interactions whenever possible.
By Samantha Young – Three months ago, the nation watched as COVID-19 patients overwhelmed New York City’s intensive care units, forcing some of its hospitals to convert cafeterias into wards and pitch tents in parking lots.
Latest news being reported on payers and the health insurance industry including news from Oscar Health, Cigna, Carrot Health, Molina, Health Partners Plans, InnovaCare Health, Avalere Health, CVS Health, Anthem Inc., Humana, CareSource, Medica and more.