About Eric Duchinsky

Resources by BHM Healthcare Solutions

5 Important Questions On Data Security

2023-08-07T15:41:05-04:00By |Big Data|

News of data breaches and cyberattacks have been ruling the headlines since early 2015. In fact, out of the 14 largest healthcare data breaches 5 occurred in 2015. As cyber attacks become more common it’s crucial for healthcare organizations to learn how to protect themselves, and their patient’s data, from breaches and attacks.

Department of Health and Human Services Releases Final Rule on Managed Care in Medicaid & CHIP

2017-04-02T13:28:06-04:00By |Managed Care, Medicare and Medicaid|

On April 26, 2016 the Department of Health and Human Services (HHS) announced the finalized version of a new rule on managed care in Medicaid and the Children’s Health Insurance Program (CHIP). The “rule advances delivery system reform, strengthens quality and consumer protections, promotes accountability, and aligns Medicaid managed care rules with other health insurance coverage programs.”

Centers for Medicare & Medicaid Services Testing New Payment Models for Drugs

2017-04-02T13:28:07-04:00By |Financial, Medicare and Medicaid, Webinars|

The Centers for Medicare & Medicaid Services is testing some new reimbursement and payment models for drugs, some of which mirror models currently used in the private sector. Medicare hopes working with providers, like many private payer networks, will lead to more efficiencies in prescriptions and eventually to lower costs.

CMS Announces Multi-Payer Initiative to Transform Primary Care

2017-04-02T13:28:07-04:00By |Health Care Reform, Medicare and Medicaid|

The Centers for Medicare and Medicaid Services (CMS) announced the launch of Comprehensive Primary Care Plus (CPC+), a new initiative that hopes to help transform and improve the ways primary care is delivered and paid for. CPC+ will help primary care practices move away from traditional fee-for-service models and the "one size fits all" mentality, to a more unified system of care where doctors have the freedom to provide the highest quality targeted care for their patients.

Opioid Epidemic Spurs Rethink On Medication And Addiction

2017-04-02T13:28:07-04:00By |Uncategorized|

Drug treatment providers in California and elsewhere have relied for decades on abstinence and therapy to treat addicts. In recent years, they’ve turned to medication. Faced with a worsening opiate epidemic and rising numbers of overdose deaths, policymakers are ramping up medication-assisted treatment. President Barack Obama last week said he’d allocate more money for states to expand access to the medications. He also proposed that physicians be able to prescribe one of the most effective anti-addiction drugs, buprenorphine, to more patients.

Independent Review Organization Can Save You Money 3 Ways

2023-10-31T15:03:44-04:00By |Financial, IRO, URAC Accreditation|

The role of the Independent Review Organization (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.

Cost vs Quality: The Medicaid Challenge Webinar – Last Chance to Register!

2017-04-02T13:28:07-04:00By |News and Events, Webinars|

Learn about Medicaid Reform in 2016. Learn what changes will be made and implemented, with a specific examination of state changes, delivery models, payment impacts, and trends. Join us to discover how Medicaid Reform will impact your organization (whether hospital, provider, health plan, ACO, MCO, or payer) in 2016 and what will be critical to determining success in the upcoming year.

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