Behavioral Healthcare Shortages: Causes and Solutions

The National Council for Behavioral Health and the National Council Medical Director Institute released a far-reaching report this month: The Psychiatric Shortage: Causes and Solutions. As a recognized leader in behavioral health reviews, this BHM Healthcare Insider Blog brings selections from the executive summary focusing on the behavioral healthcare shortages and solutions.

Behavioral Health Costs: Success Stories

Managing behavioral health costs challenges the US healthcare system. The issues encompass many of the legacy processes and structures needing to be overhauled. Some interesting recently posted examples may show the way for the entire healthcare system. These come from both payers and providers.

Adding Value With Behavioral Health

Providers are beginning to bridge the gap between medical and mental care, forming partnerships aimed at improving patients’ physical and mental health, and reducing costs at the same time. Such holistic projects are underway in numerous states, including California, New York, Washington, and Florida.

More Competition? Specialty Pharmacy Growth

The specialty pharmacy industry is booming and as many pharmacies opt for moving down the specialty pharmacy accreditation path, many hospitals and healthcare systems are starting to realize opening their own specialty pharmacies (or partnership with one) could be a good idea. The jump to specialty pharmacy for a health system or hospital, isn’t only a revenue driver as it gives them access but could also help with re-admissions, quality of care, and data collection. And as specialty pharmacies crop up all over the country, with an estimated 250 to be accredited by the end of 2015, it is the perfect opportunity for health systems to take fate into their own hands. From driving revenue, to increasing quality of care here are three main areas a hospital or health system can benefit in an in-house specialty pharmacy.

5 Things to Look For in an Independent Review Organization Partner

Choosing an Independent Review Organization (IRO) for a meaningful partnership that drives improvement and cost savings can be a tough task. The importance of an IRO to help support effective decision making and give objective, unbiased reviews, can be crucial to your business. To ensure you choose an IRO that distinguishes itself through quality work, ongoing training, full compliance, and the latest technology, you’ll want to do your research. It’s very important to trust the organization you choose and you always want to make sure they are industry certified. The following is a 5 part checklist for selecting the right IRO Partner.

By | 2017-04-02T13:28:07+00:00 April 13th, 2016|Clinical Operations Improvement, Compliance, IRO, Physician Advisor/Peer Review|Comments Off on 5 Things to Look For in an Independent Review Organization Partner

Pharmacy Trends | Top 5 Pharmacy Trends for 2016

Top 5 Pharmacy TrendsTop 5 Pharmacy Trends: Pharmacy Industry Trends and Events

2015 has been an extraordinary year for the Pharmacy […]

By | 2017-04-02T13:28:07+00:00 January 15th, 2016|Clinical Analysis, Clinical Operations Improvement, Health Care Reform, Uncategorized|Comments Off on Pharmacy Trends | Top 5 Pharmacy Trends for 2016

The Benefits of Specialty Pharmacy: For Hospitals & Health Systems

The specialty pharmacy industry is booming and as many pharmacies opt for moving down the specialty pharmacy accreditation path, many hospitals and healthcare systems are starting to realize opening their own specialty pharmacies (or partnership with one) could be a good idea. The jump to specialty pharmacy for a health system or hospital, isn’t only a revenue driver as it gives them access but could also help with re-admissions, quality of care, and data collection. And as specialty pharmacies crop up all over the country, with an estimated 250 to be accredited by the end of 2015, it is the perfect opportunity for health systems to take fate into their own hands. From driving revenue, to increasing quality of care here are three main areas a hospital or health system can benefit in an in-house specialty pharmacy.

By | 2017-04-02T13:28:09+00:00 December 10th, 2015|Accreditation, Care Coordination, Clinical Operations Improvement, Financial, Healthcare Prevention, Pharmacy Accreditation, Readmissions, Revenue Cycle Improvement, Specialty Pharmacy Accreditation|Comments Off on The Benefits of Specialty Pharmacy: For Hospitals & Health Systems

3 Ways Independent Review Organizations Help Save You Money

We’ve been talking a lot lately about Independent Review Organizations and the appeals process that accompanies them. The role of the IRO in the appeals process is to provide an unbiased 3rd party opinion on complicated reviews, helping to assure that all reviews are given the time and care they deserve. It’s a common illusions in the healthcare industry that taking care of things in house is the best and easiest way to save money—however this isn’t true when it comes to claim reviews. If you are trying to manage your denials in-house, it can actually be counterproductive if you’re trying to save money and even time. Let’s take a look at how outsourcing your IROs can save you time and money.

By | 2017-04-02T13:28:09+00:00 December 3rd, 2015|Accountable Care Organizations, Clinical Operations Improvement, Compliance, Financial, Financial Analysis, IRO, Services, Webinar|Comments Off on 3 Ways Independent Review Organizations Help Save You Money

3 Trends to Watch in Healthcare Information Management

The healthcare industry is rapidly growing: With innovations in medical tools and new successful procedures performed annually, there is no shortage of change. Just as vital to the industry are solutions that help manage the information of the millions of patients who visit each year. To keep up with the demand and to facilitate the process, adjusting healthcare information management practices is a necessity. Here are three trends that are being implemented.

By | 2017-04-02T13:28:09+00:00 November 30th, 2015|Big Data, Care Coordination, Clinical Operations Improvement, Healthare IT, Operational Analysis, Strategic Planning, Telehealth and Telemedicine|Comments Off on 3 Trends to Watch in Healthcare Information Management

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