The rising costs of healthcare make finding new, effective strategies critical for hospitals, insurance payers, and other healthcare organizations. Efforts for reducing healthcare costs not only aim to control expenses but also improve patient care quality.
Revenue cycle management (RCM) stands as the linchpin that determines the financial vitality of healthcare organizations and payers alike. We will delve into proven strategies tailored specifically for healthcare organizations and payers to streamline and accelerate their revenue cycle.
Healthcare performance improvement initiatives emerge as key catalysts, intricately shaping the efficiency and effectiveness of payer operations. This article explores the substantial impact these initiatives wield in optimizing payer processes, ultimately elevating the quality of patient care.
Delve into the central concept of cost effective healthcare, delving into how skillfully maintaining this balance is not just attainable but also indispensable for optimizing payer operations.
Unplanned hospital readmissions occur when a patient is discharged from a hospital and then returns to the hospital within a certain time frame due to an unplanned medical issue. These readmissions can be costly for both the patient and the healthcare system. To reduce the number of unplanned hospital readmissions
A record number of laws have been passed by states this year to increase affordability and access to prescription drugs, according to Kaiser Health News.
The American Medical Association on Sept.9 released a report to guide policymakers and states in responding to the opioid epidemic, detailing successful strategies and lessons learned in Colorado, Mississippi, North Carolina and Pennsylvania.
A new study on guidelines aimed at lowering opioid prescriptions to prevent addiction shows the potential success — and challenges — of changing prescribing habits, according to NPR.
Though the U.S. Justice Department has used data analytics to comb through prescription and billing information to detect healthcare fraud for several years, its recent data-driven approach to tackling the opioid crisis may be its most successful yet.
CMS released three proposed rules on July 29, which include payment updates for outpatient and physician services and expanded price transparency initiatives.