Category Archives: Providers

5 Leading Indicators Your Nurse Scheduling System Needs a Check Up

Hospitals operate 365 days a year, 24/7 with no down time, so efficiently managing and scheduling staff is important. With this in mind, it is no wonder that about 31 percent of total hospital spend on Workforce Management (WFM) software in the U.S. is spent on nurse scheduling and staffing, according to a 2016 WFM […]
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Learn how providers are addressing social determinants of health at 2017 AHA Leadership Summit

Social determinants of health (SDOH) is a concept that is gaining more traction in the boardrooms of hospitals and health systems. The concept—that the provision of health care directly influences only a small percentage of overall health outcomes—has been studied and promoted for years by organizations such as the Robert Wood Johnson Foundation, the Kaiser […]
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Data access is key to closing care gaps

Advanced analytics can uncover gaps in care but unless that information is available to front line health care professionals the gaps will remain. Teamwork and the right technology can ensure data can be accessed and utilized in a timely manner. This approach is working for both providers and payers. For example Premier Medical Associates, a […]
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Do bundled payments encourage more procedures? New study offers answer

New research aims to determine whether a claim that bundled payments may actually increase costs rather than control them holds any weight. Becker’s Hospital Review and McKnight’s reported on the study from the Centers for Medicare and Medicaid Services and the Altarum Institute. At issue was whether bundled payments — also known as episode-based payments […]
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MACRA requires knowledge of qualities of “good” data

Medicare is allowing physicians and group practices to set their own course toward compliance with the Medicare Access and CHIP Reauthorization Act, or MACRA. But regardless of the path chosen, accurate measurement is key. That’s because the most basic level of participation requires physicians to submit data on one quality measure and one improvement activity […]
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Ease a transition to new tech by communicating with your whole staff

Digital technology is revolutionizing health care — but everybody who adopts it knows that it presents challenges in a clinical setting. There are learning curves with hardware and software, new habits to develop, glitches to deal with, and a whole lot more — while you’re taking care of patients under time constraints. According to Judy […]
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A way to save real dollars on each business transaction

As providers work to meet the demands of value-based care and population health management, they are discovering the importance of data and the ability to share that data. Often the focus is on the shareability of clinical data. But data sharing can also provide opportunities for efficiencies and cost savings in claims submissions and patient payments — […]
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New rules govern how health care providers partner with payers

Since the Patient Protection and Affordable Care Act was signed in 2010 there has continued to be some uncertainty about how healthcare reform will evolve. However, most  large health care organizations agree that value-based care is here to stay. They invested in robust technologies and began implementing population health management strategies. The market’s smaller players […]
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Blinkers on: It’s time to move into the value-based care fast lane

Providers and payers are converging and seeing new opportunities to collaborate to improve care quality and control costs under new value-based care models.  Increasingly, providers are evolving to take more accountability for cost of care and patient outcomes—issues historically laid at payers’ feet. However, providers must continue to operate in a fee-for-service environment while transitioning […]
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The missing ingredient for population health management success

Medicare Accountable Care Organizations (ACOs), the Bundled Payments for Care Improvement program, and value-based contracting in general have driven the health care industry to invest in population health management (PHM) applications and services. But it turns out that it takes more to succeed in value-based care than purchasing technology or engaging in a short-term consulting […]
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