By Robert Freedman – In 2015, the OIG recovered more than $3B in audit and investigative receivables as a result of their oversight activities. That’s great news for taxpayers but not so wonderful for the many hundreds of provider organizations that had to dip into their shrinking revenues to come up with these repayments.
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By Chuck Deckert & Neil Treister MD – As payment for healthcare services continues to shift from fee-for-service to value-based care, significant decisions loom for physician-based groups and other healthcare organizations. We believe that the clinical integration of HIT systems is the most effective path to address the inevitable payment shift and facilitate effective population health management.
By Paul Allen – Resources are limited, funds are limited, and time is invaluable. What should an organization do to maintain their legacy system during the installation of a new system? It’s impossible to ignore the compliance, patient service needs, and required enhancements to your current system. What should you consider to remain compliant? What can be done to make the go-live more productive and seamless?
By Don Michaels PhD – One of the key concepts to rise out of the turbulent past decade in the healthcare industry is the Accountable Care Organization (ACO). In the ACO model, private and government payers offer the opportunity for financial incentives to groups of providers to encourage them to come together voluntarily to deliver high quality while keeping costs down.
By Don Michaels, PhD – The shift from fee-for-service to value-based care may be moving slowly, but there’s little doubt that the change is inevitable. According to a recent survey by PwC, alternative incentive based payment models like bundles and capitation currently make up a small percentage of payments.
By Gregory Ator MD – It is well known that healthcare is moving from volume to value – value defined as optimal outcomes for the least cost. And with some urgency, many organizations are trying to figure out how to successfully navigate this transition.
By Kirk J Nahra – By now, most people have felt the effects of the HIPAA Privacy Rule (from the Health Insurance Portability and Accountability Act). HIPAA has set the primary standard for the privacy of healthcare information in the United States since the rule went into effect in 2003.
By David McCready – There is a growing interest among many hospitals to migrate toward alternative service delivery models referred to as “service lines.” The concept with clinical service lines is to shift the hospital’s care delivery model from the traditional specialty silos to a more horizontal organizational structure.
By Angela Hunsberger – For many practices, fluctuating program guidelines combined with the rushed pace of technology adoption has resulted in an overconsumption of software products. Focusing on a moving target makes it difficult to spot areas that could be unnecessarily costing your organization.