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Resources from BHM Healthcare Solutions

BHM Seeks Experienced Proposal Writer

2024-06-14T09:17:04-04:00By |News and Events|

BHM Healthcare Solutions’ Business Development Division is expanding rapidly and is seeking to fill the position of Proposal Writer. The ideal candidate will be experience and have excellent communications skills.BHM Healthcare Solutions seeks an energetic, collaborative and effective Proposal Writer to join its growing business development team. This position focuses on proposal development and support of business development initiatives.

Telemedicine / Telehealth – Current Uses and Reimbursement

2017-04-02T13:28:38-04:00By |Financial Analysis, Physician Compensation, Services, Telehealth and Telemedicine|

What’s better than knowing you can connect a provider with a patient even when that patient lives in the most rural of places? Telemedicine is an innovative and resourceful communication tool that integrates communications with modern day electronics allowing for the provider and patient to be in different locations during scheduled appointments. Products such as real time audio/video, email and smart phones are just some of the products being used in this delivery of services. The term telehealth which also encompasses telemedicine is a broader definition of remote healthcare that can include non clinical usage such as continuing education and training for providers to support healthcare services.

Show Me the Money | Profitability Through Value-Based Purchasing

2023-06-29T12:06:18-04:00By |Accountable Care Organizations, Care Coordination, Financial Analysis, Health Care Reform, Health Insurance, Physician Compensation, Services|

Summary: Are you ready for a shift in risk from payer to provider? Will you be ready for value-based purchasing when it becomes required? Are you utilizing other reimbursement models such as bundled payments, Accountable Care Organizations, and Population Health Management? From a provider perspective, healthcare reform is aimed at tightening the purse strings, working more efficiently, reducing waste, and improving quality. The shift of risk has begun which will transform healthcare from a fee-for-service to fee-for-value. When the ultimate transformation ends, is still uncertain. As such, fee-for-service is still being utilized and providers are still generating profits and revenue based on the volume mentality while simultaneously trying to transition to a volume and quantity mentality. Juggling the opposite ends of the spectrum is no easy task.

Understanding Utilization Review

2024-06-19T07:51:18-04:00By |Health Insurance, Physician Advisor/Peer Review, Services|

When a patient needs medical treatment of any kind, their insurance company needs a way to establish how much they’re going to pay for the services. An insurance company may review a treatment or procedure to determine if it is appropriate, and therefore, if they’ll cover the cost. If an insurance company denies coverage, a patient or healthcare provider can appeal the decision.

Shifting Risk: A Pharmacy Perspective on Value-Based Purchasing

2017-04-02T13:28:39-04:00By |Accountable Care Organizations, Financial Analysis, Physician Compensation, Services|

Summary: In this article we will discuss Value-Based Purchasing and how it impacts the Pharma industry in particular. According to an issue brief by Deloitte Center for Health Solutions, Value-based pricing for pharmaceuticals: Implications of the shift from volume to value, a shift in risk is occurring in the pharma industry as a result of healthcare legislation, culminating with the Affordable Care Act (ACA).

5 Aspects of CMS’ 2015 Proposed IPPS Regulations

2017-04-02T13:28:39-04:00By |Clinical Analysis, Compliance, Financial Analysis, Health Care Reform, Medicare and Medicaid, Physician Compensation, Readmissions, Services|

On April 30, 2014, CMS announced proposed IPPS regulations to become effective January 1, 2015. The ruling covers: Hospital Value-Based Purchasing Program, Hospital Readmissions Reduction Program, Hospital-Acquired Condition Reduction Program, Quality Reporting Programs, and Wage Index – Updated Labor Market Areas. CMS just announced proposed regulations to become effective January 1, 2015. These regulations further the goals of the Affordable Care Act: increasing patient outcomes and reducing healthcare spending. These proposed regulations are Medicare specific and, if approved, will be applicable to general acute care and long-term care hospitals.

5 Healthcare IT Risks in 2014

2017-04-02T13:28:39-04:00By |Healthcare Preventitive Care, Quality Improvement Programs, Services|

In the last few decades, increasing availability of technology in healthcare has lead to some amazing advances, both for physicians and patients. Documentation for physicians is well on its way to becoming more streamlined, thanks to the interconnectivity of electronic health records, and the potential for "One patient, one record" only becomes more of a reality with each new innovation.

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