NCQA Releases Health Insurance Plan Ratings For 2015-16 & Debuts New Rating System
On September 17, 2015 the NCQA announced the release of the 2015-16 Health Insurance Plan Ratings, debuting the new ratings methodology as well. These ratings, which are shift from the “ranking” system previously used by the accrediting body, compare the services and quality of over 1,000 health plans. These ratings “provide consumers with a more accurate picture of how health insurance plans perform in key quality areas.” The easy to use system lets consumers search for health plans by state, and plan name or plan type (Private, Medicaid, Medicare). Consumers can also sort the listings by Accredited Status, Consumer Satisfaction, Prevention, and Treatment (in addition to rating). Top performers nationwide, with an overall 5.0 rating and 4.5 Consumer Satisfaction include: Capital District Physicians’ Health Plan, Harvard Pilgrim Health Care, Kaiser Foundation Health Plan of Northern California.
5 Ways IROs Can Increase Your ROI
IROs can help control costs and save you money (and resources) when it comes to all sorts of claims, not just medical necessity; and if you’re stuck trying to choose one, we have plenty of online resources to help you out! From the evidence based approach to hyper-specialization, here are five ways that Independent Review Organizations (IROs) can help boost your return on investment.
Healthcare Data Breaches: Is 2015 The Year of the Cyber Attack?
From Anthem to Premera Blue Cross, healthcare data breaches have been buzzing in our news feed since the beginning of 2015. But did you know that five of the biggest data breaches in the healthcare industry occurred this year? And that over “92 million individuals” have been affected by healthcare breaches in 2015 already (just up until May). Unfortunately, it’s been a big year for cyber attacks and according to Bloomberg Business “nearly 90 percent of health-care providers were hit by breaches in the past two years, half of them criminal in nature, the report found.” While many organizations are buffing up on security and creating awareness around the important issues of cyber security and healthcare, a recent survey by KPMG found that only 66% of providers feel they are prepared a cyber attack.
Don’t forget! Sign Up For Our FREE Accreditation Success Webinar 9/17!
Join us 9/17 at 1PM CDT and learn the top strategies that make the difference between accreditation success and failure. Through research, expert interviews, and hands on work with some of the top national organizations we have discovered the keys to accreditation success….and they might not be what you think! This is a must attend event for anyone undergoing accreditation or re-accreditation. Discover essential components on how to maximize your accreditation success rate, save your organization money, and get the most out of your accredited status.
The Top 7 Benefits of External IROs
With healthcare reform well under way, External Independent Review Organizations, (IROs) have become a requirement nationwide. For some, it’s a welcomed change to current strategies, but for other organizations, there might be a lot of unanswered questions about that transition, the motivation behind it and the necessity.
Join Us 9/17 For Our FREE Webinar: The Secrets to Accreditation Success!
Through research, expert interviews, and hands on work with some of the top national organizations we have discovered the keys to accreditation success….and they might not be what you think! This is a must attend event for anyone undergoing accreditation or re-accreditation. Discover essential components on how to maximize your accreditation success rate, save your organization money, and get the most out of your accredited status.
6 Benefits of Becoming Accredited & Some Exciting News!
Common Revenue Cycle Management Pitfalls to Avoid
When asked what the key to success is, most business owners will tell you the ability to stay competitive in the marketplace. Staying competitive is particularly important in the health care field where the financial success of a physician practice is fundamentally based on provider productivity and revenue cycle management. A practice that’s unable to reduce revenue leaks and increase their bottom line will have a hard time staying afloat.
When it comes to minimizing costs and managing revenue, medical practices of all sizes make the same mistakes. Here are 7 common RCM pitfalls to avoid at all costs.
Social Media and Healthcare: 3 Infographics To Read Today
We’ve talked a lot about how the use of social media in healthcare can be very rewarding. From helping improve patient satisfaction to creating a strong community online, social media has helped revolutionize certain aspects of the healthcare industry. It’s important not to shy away from social media, as it’s the perfect way to connect with your patients and clients. Remember – having a strong online presence is crucial for growth in a modern healthcare world. Here are 3 great infographics that will give you some insight into how social media and healthcare work together to improve the patient experience.
The Accreditation Gap Analysis – 5 Reasons Why It’s Critical
The Accreditation Gap Analysis | 5 Reasons Why It’s Critical When taking any journey you typically travel from point A to point B. But what if you didn’t know where point A was? You would have no idea how long the trip would take. No clue as to the best way to get there, and […]