Financial Analysis in Healthcare

Mastering Denial Management: Strategies for Efficient Reimbursement

2023-09-12T14:39:14-04:00By |Clinical Operations Improvement, Financial Analysis, Healthcare Independent Review, Trends|

Denial management involves navigating the complex web of insurance claims, reimbursement processes, and regulatory compliance to ensure that rightful reimbursements are received for services rendered. This blog aims to delve into the strategies that empower healthcare providers to crack the code of denial management, achieving optimal financial outcomes while upholding the quality of patient care.

AMA Passes Augmented Intelligence Policy

2018-07-10T16:18:47-04:00By |Financial, Financial Analysis, Health Insurance, Revenue Cycle Improvement, Trends, Uncategorized|

The American Medical Association passed its first policy addressing augmented intelligence in the healthcare industry during its annual meeting in Chicago, which ran June 7 to June 13. The policy suggests tasks for the AMA to address regarding the use of AI in healthcare, with a focus on encouraging healthcare stakeholders and federal policymakers to prioritize "user-centered design." The initiative builds on a proposed a "baseline policy" the association laid out in a May report to its board of trustees.

Study: Hospital Prices Show ‘mind-boggling’ Variation

2018-05-15T16:49:40-04:00By |Financial, Financial Analysis, Health Insurance, Revenue Cycle Improvement, Trends, Uncategorized|

The prices hospitals negotiate with health insurance companies vary enormously within and across geographic regions in the United States, according to a new study coauthored by Zack Cooper (Yale), Stuart Craig (University of Pennsylvania), Martin Gaynor (Carnegie Mellon), and John Van Reenen (London School of Economics).

Asthma Management Costs: $80 Billion Annually To Breathe Easier

2018-01-16T21:13:15-04:00By |Big Data, Financial Analysis, Health Insurance, Lean Management|

Asthma costs the U.S. economy more than $80 billion annually in medical expenses, missed work and school days and deaths, according to new research published in the Annals of the American Thoracic Society. Healthcare leaders’ continuing efforts to alleviate the trending asthma management costs will have long-term benefits for patients and providers alike.

Healthcare Payer Operations Improve With More Data

2017-09-20T17:53:15-04:00By |Big Data, Financial Analysis, Healthcare IT|

As healthcare payer operations integrate new practices to align with the value-based care paradigm, payers are critically challenged with identifying root causes to solve issues in order to improve and sustain performance. BHM Healthcare Solutions play a critical role in a larger operational system and offers two resources for consideration when reviewing the larger payer operational landscape.

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