Choosing the right Peer Review Program can be difficult. It’s important to look for a Peer Review Program that distinguishes itself through quality work, ongoing training, full compliance, and the latest technology. You want to trust the organization you choose and make sure they are industry certified. Use these 5 tips to help you choose a Peer Review Program or use as a guide for your current vendor.
According to the Centers for Disease Control, an estimated $25 billion of U.S. healthcare costs was attributed to the abuse of painkillers—otherwise known as opioids. Up to 36 million people worldwide struggle with opioid addiction. It is a real concern for health plans and the pharmacies and providers under their umbrella. How can your health plan read the warning signs within provider networks to prevent this addiction from the start and minimize the risk and cost impact to your organization?
According to a recent Revive Health Inforgraphic, the percentage of healthcare leaders who have trust in any payer is eroding over time. Revive Health conducted a survey where they targeted 201 hospital leaders who "negotiate and/or approve managed care contracts with national health insurance companies. "
The opioid epidemic sweeping the country is still in full force. As opioid dependency marks one of biggest challenges healthcare providers, payers, it has become a critical focus for everyone in the healthcare ecosystem. A recent study, reported by Kaiser Health News, found that the United States saw a 1300% spike in “spending by health insurers in a four-year period on patients with a diagnosis of opioid dependence or abuse.”
By teaming with community organizations, doctors and hospitals can deliver high-quality care at good value to disadvantaged people at risk for poor health, according to a new report from a panel of experts. The report released Thursday by the National Academies of Sciences, Engineering and Medicine was produced to aid Medicare officials studying how to fairly pay hospitals that disproportionately serve patients with social risk factors for health problems. Those factors include low income, social isolation, disadvantaged neighborhoods and limited health literacy.
Moving into a realm usually reserved for health care regulators, the California health marketplace Thursday unveiled sweeping reforms to its contracts with insurers, seeking to improve the quality of care, curb its cost and increase transparency for consumers. The attempt to impose quality and cost standards on health plans and doctors and hospitals appears to be the first by any Obamacare exchange in the nation. Among the biggest changes: Health plans will be required to dock hospitals at least 6 percent of their payments if they do not meet certain quality standards, or give them bonuses of an equal amount if they exceed the standards.
It’s only the beginning of 2016 but here at BHM Healthcare Solutions we have been keeping a close eye on the upcoming healthcare trends for the year. So far we’ve discussed the important trends of Pharmacy and Behavioral Health and how each of those industries is expected to make great strides in the New Year.
Rural Hospitals Face Financial Pressure according to a recent article
MOUNT VERNON, Texas—Despite residents’ concerns and a continuing need for services, the 25-bed hospital that served […]
This year is going to be an important year for Behavioral Health, don’t miss out on our free webinar 1/20 on Behavioral Health Integration success! Join us Wednesday January 20th at 12: 00 PM CST as we explore the concept of Behavioral Health Integration. This free web event will cover: Making the Case for Behavioral Health (BH) Primary Care (PC) Integration, Integration 101: First Steps to Making it Work (Technology, Screening Tools, Communication), and Integration: Realizing Opportunities. If you can't make the event, don't worry! Simply register for the web event to receive a recording of the event as well as a copy of the presentation after it is finished.
How a Specialty EHR System Affects Patient Experience
Customer experience is a big deal for businesses today, […]