By Belinda Cridge & Krithika Srivats – Facing both revenue and expense issues and exasperated by clinician shortages, hospitals are increasingly noting denials in the danger zone. “Danger zone” translation: Denials are increasingly higher than 10%, costing significant dollars in lost or delayed reimbursements.
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By Angel Mena MD – I recently participated in an industry panel of healthcare leaders where we discussed the evolution of the Chief Medical Information Officer (CMIO). You might be wondering, what does the CMIO of a hospital or health system do?
By Pramila Srinivasan PhD – Patients have not been incentivized to play an active role in their health management. Today three in five people were offered and accessed their online record or patient portal last year, which was a 50% increase over 2020.
By David Burda – APMs are reimbursement models that put providers at financial risk for the care that they provide to their patients. APMs take many forms. The AMA report covers four basic forms: pay-for-performance, capitation, bundled payments and shared shavings.
By Olivia Schlabach – CHIME’s annual Fall Forum was held at the scenic JW Marriot Desert Ridge Resort and Spa where participants came together for three days of networking, programming and education around some of the industry’s biggest challenges and opportunities.
From The Health IT Buzz blog – Many hospitals have adopted systems for interoperable patient data exchange and are connected to national networks. However, ONC has consistently found that rates of interoperable exchange for smaller, rural, and independent hospitals have notably lagged behind other hospitals.
By Dr. Benjamin Barlow – The urgent care industry has faced unprecedented challenges and opportunities in the past few years due to the COVID-19 pandemic and its aftermath. Urgent care clinics have seen fluctuations in visit volumes and changes in acuity of care against the backdrop of evolving patient expectations.
By Rajesh Subramaniam – Health plans strive to empower and support members during every interaction, yet the unvarnished reality is that most plans fail to strategically optimize their member experience. According to a J.D. Power study, overall member satisfaction with commercial health plans fell in 2023, driven primarily by reduced satisfaction with customer service.
By Jason Brown – From initial claim submission to filling additional documentation requests, and responding to payer audits or denials, healthcare provider organizations dedicate significant time and resources to collaboration with payers.