Tag Archives: value-based provider

Preparing your organization for value-based care

Being prepared is sound strategy in all areas of life. The Boy Scouts live by it. Homeowners in hurricane zones stay ready for the worst. And health care executives know it’s the secret to longevity in the helter-skelter world in which they operate. Preparation is even more important now that value-based reimbursement is building momentum. […]
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Reimbursement: The narrowest curve on the value-based journey

Health care reimbursement isn’t as easy as a provider sending an invoice and the payer cutting a check. Since DRGs were introduced by Medicare in the early 80s, getting reimbursed for services performed has become increasingly complicated. Regulatory and industry changes related to the Affordable Care Act and the ICD-10 mandate have made it even […]
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Coding and documentation are linchpins in optimizing performance

The degree to which health care organizations have access to accurate and complete data will make or break a health care organization’s ability to respond to change. In the evolving world of value-based care, this rings true in how well leaders manage coding and documentation to improve performance. Of the five steps along the “optimizing […]
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Medical necessity is a must for any value-based organization

In our previous post, we outlined how optimizing the technologies and processes behind clinical care is critical to optimizing performance in a value-based environment. The next step on the journey “Beyond the Curve of Health Care” involves medical necessity. Medical necessity can be burdensome, but its various rules must be followed to avoid significant penalties […]
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Optimizing the technologies and processes behind clinical care

Our last blog discussed some of the new rules for optimizing patient access in the world of consumerism and value-based reimbursement. Today, we’ll take a look at optimizing the technologies and the processes behind clinical care. For a deeper look at ways you can optimize financial performance under value-based care, download the Optum eBook “Beyond […]
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