Features

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 the Affordable Care Act Impacts Patient Engagement

PatientEngagementHIT The 2010 passage of the Affordable Care Act began a thorough overhaul of the healthcare system. Some states expanded Medicaid, consumers began to buy health insurance on federal and state health insurance exchanges, and healthcare...

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...

How Patient Portals Improve Patient Engagement

PatientEngagementHIT What are patient portals? Patient portals are an online website that is connected to the EHR, centrally focused on patient access to health data. These tools give patients a look into various data points, including lab results,...

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...

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...