The tool can help health systems optimize submissions and better predict potential issues with claims, the company says, giving recommendations to help mitigate denials before they're submitted.
Revenue Cycle Management
The number one strategic focus, increasing ambulatory access, topped the list in 2017 and again for this latest survey.
System leaders should regularly evaluate existing and new partnerships to ensure that they're meeting their desired outcomes.
The case for precision medicine has been made. Now, how do we make it happen?
Supply chain activity by group purchasing organizations could affect close to 60 percent of hospital and nursing home non-labor spend, HSCA report says.
Cost savings for pathway patients was estimated on average to be more than $1,500 per patient.
Quality and Safety
A consistent framework is needed to ensure healthcare quality workforces are efficient, effective and delivering on ROI.
Billing and Collections
Overall, 56 percent of adults reported at least one domain of medical financial hardship, representing 137.1 million adults in the US.
The collaboration allows health plans to pay for healthcare-related social services delivered by community benefit organizations.
The pioneering Pennsylvania health system has picked Ryu, who most recently served as its chief medical officer, to replace Dr. David Feinberg, who joined Google in 2018.
Humana says it is the first national insurer to collaborate with Epic to bring together patients, providers, and the insurer in a value-based model.
The custom sensor would measure information from the body beyond heart rate, report says.
Evaluators often used personal descriptors to describe a student's performance, and they used strikingly different words for men and for women.
Compliance & Legal
Anthem last year was required to pay $16 million in the most costly HIPAA fine ever, for what remains the largest data breach for the industry.
Policy and Legislation
The impact of legislation to curb surprise medical bills would be pronounced for those with lots of interaction with out-of-network patients.
The money will be paid out through multiple gifts to various charitable organizations and system also has dispatched medical personnel to assist those in shelters.
While the nation is going digital for services, healthcare needs a physician presence and Amazon is also expanding that strategy.
The program used electronic "nudges" to clinical staff to forgo overnight vitals and medications as well as clinical staff education on improving patient sleep.
The institutions that were studied added more than $562 billion in value to the nation's economy in 2017, including direct and indirect economic impact.
A new study from the company explores the ways its algorithms can be put to work improving risk scoring and stratification and enhance value-based care initiatives.
Report analyzed more than 1.8 billion commercial healthcare claims and data visualization to benchmark prices and use across 112 metropolitan areas from 2012 to 2016.
ICD-10 & Coding
Doctors need to carefully and properly use the HCC codes, which indicate the expected costs for a patient.
Administrator Seema Verma said changes to the program eliminate 25 measures and saves hospitals over 2 million hours of work and $75 million.
Medicare & Medicaid
Not only were there no employment changes, but Medicaid coverage rates have been dropping due to confusion and lack of awareness.
Just one subtle comment expressing workplace frustration was enough for people to view someone as a less credible health professional.
PillPack and Amazon have no immediate plans to build a PBM but have 'explored a number of things,' say court documents.
The average health center only screened for 8 of the 16 domains in the pilot's standardized screening.
More than 2.9 million simulated emails were sent to employees at six hospitals, and nearly one in seven were clicked on, the study said.
New technology innovations, such as Internet of Things sensors, contribute to the growth outlook for this segment of the healthcare industry.
Mergers & Acquisitions
The online patient community portal will now be incorporated into UnitedHealth Group's research arm, which is focused on health innovation and improvement.